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Danielle Marie Thelen , FNP-BC, CPNP-AC

Nurse Practitioner - Pediatrics β€’ Minnetonka, MN

Active NPI 1316383789 Individual Practitioner Female Practitioner
Practice location in NPPES

14001 Ridgedale Dr, #100
Minnetonka, MN 553051781

Call 9524730211 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

14001 Ridgedale Dr
#100

Minnetonka, MN 553051781

Telephone 9524730211
Fax 9524737908
Organization at the Same NPPES Address or Phone
Wayzata Children's Clinic P.a. Facility NPI 1023081577

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Minnetonka and Minnesota

19 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Minnetonka, MN (470 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Minnetonka

0% of these 19 clinicians have the CMS telehealth indicator.

0% of these 19 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES MN R174090-3
Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES MN R174090-3
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Terri Johnson , MD

Obstetrics & Gynecology

NPI 1225035710

Doctor of Medicine (M.D.)

Dr. Christine Larson , MD

Obstetrics & Gynecology

NPI 1528064128

Doctor of Medicine (M.D.)

Rebekah Roverud , PA

Physician Assistant

NPI 1780838102

Physician Assistant

Dr. Gregg Teigen , MD

Obstetrics & Gynecology

NPI 1043216641

Doctor of Medicine (M.D.)

Dr. Katie Toft , MD

Obstetrics & Gynecology

NPI 1407972474

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active October 27, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 27, 2017

Registered at 14001 RIDGEDALE DR, #100, MINNETONKA, MN 553051781 (Tel: 9524730211)

πŸ“
Updated Business Mailing Address October 27, 2017

Registered at 14001 RIDGEDALE DR, #100, MINNETONKA, MN 553051781 (Tel: 9524730211)

πŸ‘€
Provider Name / Credentials Updated October 27, 2017

Recorded as DANIELLE THELEN, FNP-BC, CPNP-AC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2017

Nurse Practitioner (license number reported to NPPES: MN R174090-3)

βœ…
NPI Profile Active May 13, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 13, 2013

Registered at 3300 OAKDALE AVE N, ROBBINSDALE, MN 554222926 (Tel: 7635205200)

πŸ“
Business Mailing Address (Initial Record) May 13, 2013

Registered at 3300 OAKDALE AVE N, ROBBINSDALE, MN 554222926 (Tel: 7635205200)

πŸ‘€
Provider Name / Credentials (Initial Record) May 13, 2013

Recorded as DANIELLE WILLIAMS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2013

Nurse Practitioner (license number reported to NPPES: MN R174090-3)

🟒
Initial NPI Registration & Enumeration May 13, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1316383789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2013
Last Update: October 27, 2017
Sole Proprietor: No

Mailing Address

14001 Ridgedale Dr, #100

Minnetonka, MN 553051781

Phone: 9524730211

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.