JAMES TUTU I FISKE (DNP/PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1013525534

JAMES TUTU I FISKE (DNP/PMHNP) is a healthcare provider. based in Bloomington, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP/PMHNP. They hold a License No. 11098 (MN). The NPI Number for JAMES TUTU I FISKE (DNP/PMHNP) is 1013525534

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JAMES TUTU I FISKE (DNP/PMHNP)
NPI
1013525534
Phone
(844) 994-3631
Address
3601 MINNESOTA DR STE 170
Enumeration Date
21 July 2020
Last Update Date
22 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7534215535
Graduation Year
2019 (7 years ago)
PAC ID
5294131520
Group Practice PAC ID
6204178528
Professional Enrollment ID
I20240507001261
Address ID
MN554355202BL3601XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for JAMES TUTU I FISKE (DNP/PMHNP)

  • 3601 MINNESOTA DR STE 170

    BLOOMINGTON, MN 554355202

    Phone: (844) 994-3631

    Type: Location

  • 5700 E. PIMA STREET SUITE C.

    TUCSON, AZ 85712

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240507001261INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55435)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204178528View full group profile
NameSpecialtyState
Clinical PsychologistAK
Nurse PractitionerMN
Mental Health CounselorMN
Nurse PractitionerMN
Marriage And Family TherapistMN
Nurse PractitionerMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Clinical PsychologistMN
Nurse PractitionerAZ

Reviews

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Frequently asked questions

What NPI should I save for JAMES TUTU I FISKE (DNP/PMHNP)?
Save NPI 1013525534 if you need a stable reference for JAMES TUTU I FISKE (DNP/PMHNP).
Is JAMES TUTU I FISKE (DNP/PMHNP)'s NPI currently valid?
The extract we use shows JAMES TUTU I FISKE (DNP/PMHNP) as active.
What kind of provider is JAMES TUTU I FISKE (DNP/PMHNP)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for JAMES TUTU I FISKE (DNP/PMHNP). Clinical services aligned with this taxonomy classification.
Where does public data place JAMES TUTU I FISKE (DNP/PMHNP)?
The snapshot lists Bloomington, Minnesota for JAMES TUTU I FISKE (DNP/PMHNP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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