Miteku Desalgne, NP - Medicare Nurse Practitioner in Hastings, MN

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Miteku Desalgne, NP is a medicare enrolled "Nurse Practitioner - Family" in Hastings, Minnesota. His current practice location is 1880 N Frontage Rd, Hastings, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 438-1800.

Miteku Desalgne is licensed to practice in Minnesota (license number 8215) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164028296.

Contact Information

Miteku Desalgne, NP
1880 N Frontage Rd,
Hastings, MN 55033-2687
(651) 438-1800
(651) 438-1837

Map and Direction




Provider's Profile

Full NameMiteku Desalgne
GenderMale
SpecialityNurse Practitioner - Family
Location1880 N Frontage Rd, Hastings, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164028296
  • Provider Enumeration Date: 12/04/2020
  • Last Update Date: 08/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820471899
  • Enrollment ID: I20220824001667

Medical Identifiers

Medical identifiers for Miteku Desalgne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164028296NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 8215 (Minnesota)Primary
363LF0000XNurse Practitioner - Family 209022406 (Illinois)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miteku Desalgne allows following entities to bill medicare on his behalf.
Entity NameKetamine Wellness Centers Minnesota Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689234882
PECOS PAC ID: 0941683619
Enrollment ID: O20220812000352
Entity NameLakeshore Community Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437892403
PECOS PAC ID: 9335519891
Enrollment ID: O20221228001810

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miteku Desalgne is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miteku Desalgne, NP
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-5000		Miteku Desalgne, NP
1880 N Frontage Rd,
Hastings, MN 55033-2687

Ph: (651) 438-1800

Reviews and Comments


Nurse Practitioner Nurses in Hastings, MN

Ms. Susan E. Nelson, RN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1285 Nininger Rd, Hastings, MN 55033
Phone: 651-480-4200    Fax: 651-480-4306
Mary Elizabeth Glaeser, RNCNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1200 18th St E, Hastings, MN 55033
Phone: 651-438-8500    
Tamirah Florence Bonaby,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1411 Vermillion St, Hastings, MN 55033
Phone: 651-438-2200    
Ms. Lynn Marie Wachtler, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1200 18th St E, Hastings, MN 55033
Phone: 651-539-2418    Fax: 651-438-8536
Rebecca C Grandstrand, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1880 N Frontage Rd, Hastings, MN 55033
Phone: 651-438-1800    
Mrs. Kristen M Gilleo, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1880 N Frontage Rd, Hastings, MN 55033
Phone: 651-438-1880    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.