DARLA R THEOBALD (NP) – Nurse Practitioner, NPI 1043293657

DARLA R THEOBALD (NP) is a healthcare provider. based in Mankato, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. R1159484 (MN). The NPI Number for DARLA R THEOBALD (NP) is 1043293657

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
DARLA R THEOBALD (NP)
NPI
1043293657
Phone
(507) 389-4700
Address
1015 Marsh St
Enumeration Date
29 November 2005
Last Update Date
18 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5076254031
Graduation Year
1989 (37 years ago)
PAC ID
4587791967
Group Practice PAC ID
4688585771
Professional Enrollment ID
I20100415000645
Address ID
MN560014752MA1025XSTXX300
Telehealth
Yes

Contacts

Secure Messaging
dtheobald90859@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

Provider Addresses for DARLA R THEOBALD (NP)

  • 1015 Marsh St

    Mankato, MN 560015294

    Phone: (507) 389-4700

    Type: Location

  • Mayo Clinic Health System, 1025, Marsh Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO, MN 560014752

    Phone: (507) 625-4031

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($66).

Total Amount

$66

General + Research + Ownership

Payments

1

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-04-15

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
I20100415000645INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes351237$0
94729Test to examine how well the lungs exchange gases214210$0
94726Test to determine lung volumes using sensors193190$0
94060Test to measure expiratory airflow and volume changes before and after medication administration188184$0
94010Test to measure expiratory airflow and volume131122$0
View full utilization report →

Insurance plans in this area (ZIP 56001)

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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: 4688585771View full group profile
NameSpecialtyState
Nurse PractitionerTN
Family PracticeMN
-MN
-MN
Certified Registered Nurse Anesthetist (Crna)MN
Family PracticeMN
Internal MedicineONTARIO
Family PracticeMN
Family PracticeAR
-TX

Reviews

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Frequently asked questions

Can I use this page to confirm DARLA R THEOBALD (NP)'s NPI?
Yes. DARLA R THEOBALD (NP) is listed with NPI 1043293657 in the public NPI dataset.
Is DARLA R THEOBALD (NP) still practicing?
DARLA R THEOBALD (NP) is currently listed as active in the public NPI registry.
What is DARLA R THEOBALD (NP)'s primary classification?
Nurse Practitioner is the headline specialty for DARLA R THEOBALD (NP) here. Clinical services aligned with this taxonomy classification.
Does DARLA R THEOBALD (NP) list a practice location?
Patients near Mankato, Minnesota may find DARLA R THEOBALD (NP) in results; validate coverage separately.
Why does DARLA R THEOBALD (NP) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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