DALESO YADETTA PA
NPI 1962977728
Physician Assistant in Coon Rapids, MN

Q: What is Daleso Yadetta's NPI number?

The NPI number for Daleso Yadetta is 1962977728. It was assigned to this individual provider in the NPPES registry on October 9, 2018.

Q: What is Daleso Yadetta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Daleso Yadetta was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 09, 2018PECOS Enrolled

83.53/100

CMS Quality Rating

11850 BLACKFOOT ST NW STE 100, COON RAPIDS, MN 55433(763) 712-2100(763) 712-2190 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Daleso Yadetta Pa NPPES

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

DALESO YADETTA PA (NPI 1962977728) is an individual physician assistant in Coon Rapids, Minnesota, licensed in Minnesota (12817) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962977728

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameDALESO YADETTACredential: PA

Location Address11850 BLACKFOOT ST NW STE 100Coon Rapids, MN 55433-2774

Mailing Address2550 University Ave W Ste 110nSaint Paul, MN 55114-2001 · (651) 602-5311 · Fax (651) 222-6786

Phone(763) 712-2100

Fax(763) 712-2190

Sole ProprietorNo

Enumeration DateOctober 9, 2018

✔ NPI 1962977728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 12817

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

11850 BLACKFOOT ST NW STE 100, Coon Rapids, MN 55433

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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)

Daleso Yadetta Pa 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 55433 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

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.79

Promoting Interoperability

100

Improvement Activities

Cost

63.31

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.

AKIA M SMITH APRN, CNP, WHNP-BC

Nurse Practitioner (Women's Health)