ALEMU KASSA RETA
NPI 1790490241
Nurse Practitioner - Psychiatric/Mental Health in Center City, MN

Q: What is Alemu Reta's NPI number?

The NPI number for Alemu Reta is 1790490241. It was assigned to this individual provider in the NPPES registry on January 19, 2023.

Q: What is Alemu Reta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Alemu Reta was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 19, 2023PECOS Enrolled

15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012(651) 213-4984 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alemu Kassa Reta NPPES

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

ALEMU KASSA RETA (NPI 1790490241) is an individual psychiatric/mental health provider in Center City, Minnesota, licensed in Minnesota (9751) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790490241

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameALEMU KASSA RETA

Location Address15251 PLEASANT VALLEY RDCenter City, MN 55012-9640

Mailing Address3318 138th Ave NwAndover, MN 55304-7508 · (612) 978-2232

Phone(651) 213-4984

Sole ProprietorYes

Enumeration DateJanuary 19, 2023

NPPES CertifiedJanuary 19, 2023

✔ NPI 1790490241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MN · 9751

15251 PLEASANT VALLEY RD, Center City, MN 55012

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alemu Kassa Reta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55012 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 20

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

HOLLY LEIGH PEDERSON

Student in an Organized Health Care Education/Training Program