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THERESA HURLEY CNP
NPI 1689077232
Nurse Practitioner in Eagan, MN

Active since September 26, 2014PECOS EnrolledAccepts Medicare Assignment
4241 JOHNNY CAKE RIDGE RD, EAGAN, MN 55122(866) 389-2727 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2024, Jan 3, 2024, May 16, 2016 (3 updates tracked since 2016).

About Theresa Hurley Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA HURLEY CNP (NPI 1689077232) is an individual nurse practitioner in Eagan, Minnesota, licensed in Minnesota (F0714534) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Northern Light Mayo Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1689077232
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTHERESA HURLEYCredential: CNP
Location Address4241 JOHNNY CAKE RIDGE RDEagan, MN 55122-2235
Mailing Address4241 Johnny Cake Ridge RdEagan, MN 55122-2235
Phone(866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 26, 2014
Last NPPES UpdateApril 3, 20243 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1689077232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · F0714534
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2660 (MN)
4241 JOHNNY CAKE RIDGE RD, Eagan, MN 55122
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Other Identifiers 1

Medicaid1689077232MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company, Sanford Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Hurley Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769704725
PECOS Enrollment IDI20250916004454
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Theresa Hurley reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Group Health, Inc.
5.4 mi
General Practice
15350 ENGLISH AVE
Apple Valley, MN 55124
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
NPI 1073668877 (952) 431-8583
Sanford Health Network
105 mi
Rural Health
308 8TH ST N
Mountain Lake, MN 56159
  • Reassigned Medicare billing, Minnesota enrollment
  • 279 clinicians in this Medicare group
NPI 1568469039 (507) 427-3332
Trinity Regional Medical Center
165 mi
End-Stage Renal Disease (ESRD) Treatment
1610 COLLINS ST, SUITE D
Webster City, IA 50595
  • Reassigned Medicare billing, Iowa enrollment
  • 387 clinicians in this Medicare group
NPI 1568650174 (515) 832-1667
Monument Health Rapid City Hospital, Inc.
452 mi
Family Medicine
112 7TH AVENUE
Wall, SD 57790
  • Reassigned Medicare billing, South Dakota enrollment
  • 831 clinicians in this Medicare group
NPI 1265811285 (605) 279-2149
Monument Health Network, Inc.
508 mi
Family Medicine
209 RAMSLAND ST
Buffalo, SD 57720
  • Reassigned Medicare billing, South Dakota enrollment
  • 321 clinicians in this Medicare group
NPI 1073992004 (605) 375-3744

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Mayo Hospital

Critical Access Hospitals · Dover Foxcroft, ME
OwnershipGovernment - Hospital District or Authority
CMS Certification Number201309
Location897 West Main StreetDover Foxcroft, ME 04426 · Piscataquis County
Emergency services Birthing friendly

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers23 claims26 services$5.24 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims12 services$0.75 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims72 services$2.29 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers23 claims29 services$17.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims29 services$88.31 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA HOOPER PA-C
Physician Assistant
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (612) 819-6886
DR. REBECCA J LAING PHARMD
Pharmacy (Community/Retail Pharmacy)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (651) 688-7041
GRAND ST PAUL CVS LLC
Pharmacy
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (651) 688-7041
MINUTECLINIC PRIMARY CARE MINNESOTA PLLC
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (866) 389-2727
MS. ABBY ROSE ROTH NP-C
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (866) 389-2727
YEUN HEE YANG
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (651) 688-7041
MARIAM MARZOUK SOLE
Pharmacist
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (651) 688-7041
LATRICE BROWN-CHITOU CNP
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (732) 451-4318

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Hurley's NPI number?

The NPI number for Theresa Hurley is 1689077232. It was assigned to this individual provider in the NPPES registry on September 26, 2014.

Where is Theresa Hurley located?

Theresa Hurley practices at 4241 Johnny Cake Ridge Rd, Eagan, MN 55122. The listed phone number is (866) 389-2727.

What is Theresa Hurley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Theresa Hurley enrolled in Medicare?

Yes. Theresa Hurley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Theresa Hurley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Hurley reassigns Medicare benefits to 5 organizations: Group Health, Inc. (Apple Valley, MN), Sanford Health Network (Mountain Lake, MN), Trinity Regional Medical Center (Webster City, IA), Monument Health Rapid City Hospital, Inc. (Wall, SD) and Monument Health Network, Inc. (Buffalo, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Hurley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Hurley accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Insurance Company, Sanford Health Plan, Security Health Plan and Taro Health and 3 other insurers list Theresa Hurley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Theresa Hurley affiliated with any hospitals?

According to CMS data, Theresa Hurley is affiliated with Northern Light Mayo Hospital, Monument Health Spearfish Hospital and Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Hurley was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.