ANNE BENOLKEN JUTTING MD
NPI 1780657254
Pediatrics in Waconia, MN
About Anne Benolken Jutting Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNE BENOLKEN JUTTING MD (NPI 1780657254) is an individual pediatrics provider in Waconia, Minnesota, licensed in Minnesota (36778) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anne Benolken Jutting Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Anne Jutting reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waconia, MN 55387
- Reassigned Medicare billing, Minnesota enrollment
- 52 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55387 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Anne Jutting's NPI number?
The NPI number for Anne Jutting is 1780657254. It was assigned to this individual provider in the NPPES registry on February 7, 2006. The provider is also known as Anne Marie Benolken MD.
Where is Anne Jutting located?
Anne Jutting practices at 424 W Highway 5, Waconia, MN 55387. The listed phone number is (952) 442-4461.
What is Anne Jutting's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Anne Jutting enrolled in Medicare?
Yes. Anne Jutting is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Anne Jutting's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anne Jutting reassigns Medicare benefits to Lakeview Clinic, Ltd. (Waconia, MN). The 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 Anne Jutting's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anne Jutting accept?
Health plans from HealthPartners list Anne Jutting 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 Anne Jutting was last updated on August 21, 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.
# Anne Benolken Jutting, MD · NPI 1780657254
Pediatrics physician in Waconia, Minnesota. Individual provider, active in the CMS NPPES registry since February 7, 2006.
## Identity
- **NPI:** 1780657254 (Entity type: Individual)
- **Enumerated:** February 7, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 36778 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 424 W HIGHWAY 5, Waconia, MN 55387-1723
- **Phone:** (952) 442-4461 · **Fax:** (952) 442-1547
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lakeview Clinic, Ltd. (NPI 1669599981, Waconia, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2024
- **Other identifiers:** Medicaid 449522500 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1780657254) · Data from the CMS NPPES public registry.