MS. TAMMY LYNN PROHOFSKY APRN, CNP
NPI 1720689920
Nurse Practitioner in Eden Prairie, MN

Active since November 04, 2020PECOS EnrolledAccepts Medicare Assignment
11000 OPTUM CIR, EDEN PRAIRIE, MN 55344(866) 686-2504 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2024, Jan 11, 2023, Jan 5, 2021 and 1 more (4 updates tracked since 2020).

About Ms. Tammy Lynn Prohofsky Aprn, Cnp NPPES

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

MS. TAMMY LYNN PROHOFSKY APRN, CNP (NPI 1720689920) is an individual nurse practitioner in Eden Prairie, Minnesota, licensed in Minnesota (7897) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1720689920
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. TAMMY LYNN PROHOFSKYCredential: APRN, CNP
Location Address11000 OPTUM CIREden Prairie, MN 55344-2503
Mailing Address12490 Fairbanks AveLonsdale, MN 55046-4475 · (763) 257-9280
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 4, 2020
Last NPPES UpdateJuly 24, 20244 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
NPI 1720689920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in MN · 7897 Licensed in MN · R147035-4
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.

11000 OPTUM CIR, Eden Prairie, MN 55344

Other Names 1

Former Name (1)Tammy Perttula Aprn, Cnp

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Tammy Lynn Prohofsky Aprn, 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 ID143634766
PECOS Enrollment IDI20210122000319
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55344 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.

Other Providers at the Same Location NPPES 19

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

Pharmacist
11000 OPTUM CIR
EDEN PRAIRIE, MN 55344
Psychologist (Clinical)
11000 OPTUM CIR
EDEN PRAIRIE, MN 55344
Physical Therapist
11000 OPTUM CIR
EDEN PRAIRIE, MN 55344
Pharmacist
11000 OPTUM CIR
EDEN PRAIRIE, MN 55344
Pharmacist
11000 OPTUM CIR
EDEN PRAIRIE, MN 55344
Hearing Instrument Specialist
11000 OPTUM CIR
EDEN PRAIRIE, MN 55344
Dietitian, Registered
11000 OPTUM CIR
EDEN PRAIRIE, MN 55344
Dietitian, Registered
11000 OPTUM CIR
EDEN PRAIRIE, MN 55344

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 Tammy Prohofsky's NPI number?

The NPI number for Tammy Prohofsky is 1720689920. It was assigned to this individual provider in the NPPES registry on November 4, 2020. The provider is also known as Tammy Perttula Aprn, Cnp.

Where is Tammy Prohofsky located?

Tammy Prohofsky practices at 11000 Optum Cir, Eden Prairie, MN 55344. The listed phone number is (866) 686-2504.

What is Tammy Prohofsky's specialty?

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

Is Tammy Prohofsky enrolled in Medicare?

Yes. Tammy Prohofsky 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.

What insurance does Tammy Prohofsky accept?

Health plans from Medica list Tammy Prohofsky 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.

When was this NPI record last updated?

The NPPES record for Tammy Prohofsky was last updated on July 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.