THERESA M HAVALAD NP
NPI 1942649181
Nurse Practitioner in Saint Paul, MN

Q: What is Theresa Havalad's NPI number?

The NPI number for Theresa Havalad is 1942649181. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Q: What is Theresa Havalad's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theresa Havalad was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 20, 2013PECOS Enrolled

870 GRAND AVE, SAINT PAUL, MN 55105(651) 326-5650(651) 326-5671 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Jan 18, 2018 (2 updates tracked since 2018).

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About Theresa M Havalad Np NPPES

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

THERESA M HAVALAD NP (NPI 1942649181) is an individual nurse practitioner in Saint Paul, Minnesota, licensed in Minnesota (5534) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oak Park.

NPPES Registry Identity

NPI1942649181

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTHERESA M HAVALADCredential: NP

Location Address870 GRAND AVESaint Paul, MN 55105-3291

Mailing Address1690 University Ave W Ste 370Saint Paul, MN 55104-3723 · (651) 232-5321

Phone(651) 326-5650

Fax(651) 326-5671

Sole ProprietorNo

Enumeration DateJune 20, 2013

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1942649181 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 · 5534✔ Licensed in IL · 041-374413

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.

870 GRAND AVE, Saint Paul, MN 55105

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Secondary Practice Location 1

Location 1610 S Maple Ave, Suite 4600Oak Park, IL 60304-1091 · Phone (708) 660-2240 · Fax (708) 660-2243

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa M Havalad Np 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.

Medicare Billing Reassignments

Medicare enrollment records show Theresa Havalad reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healtheast Medical Research Institute

Same address

Clinic/Center

870 GRAND AVE
Saint Paul, MN 55105

Reassigned Medicare billing, Minnesota enrollment
2,361 clinicians in this Medicare group

NPI 1730128398 (651) 326-5650

Group Health, Inc.

1.3 mi

General Practice

450 SYNDICATE ST N, #300
Saint Paul, MN 55104

Reassigned Medicare billing, Minnesota enrollment
2,274 clinicians in this Medicare group

NPI 1750436333 (651) 254-7373

Park Nicollet Clinic

7.2 mi

Family Medicine

1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403

Reassigned Medicare billing, Minnesota enrollment
2,527 clinicians in this Medicare group

NPI 1912315144 (952) 977-0700

Rush Oak Park Physicians Group Anchor

342 mi

Family Medicine

610 S MAPLE AVE, SUITE 3900
Oak Park, IL 60304

Reassigned Medicare billing, Illinois enrollment
16 clinicians in this Medicare group

NPI 1396018453 (708) 524-1674

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 55105 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 9

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

DEBORAH H SWENDROSKI MD

Family Medicine