JULIE A. TRYON (NURSE PRACTITIONER) – Psychiatric/Mental Health Nurse Practitioner, NPI 1053921080

JULIE A. TRYON (NURSE PRACTITIONER) is a healthcare provider. based in Laporte, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 7609 (MN). The NPI Number for JULIE A. TRYON (NURSE PRACTITIONER) is 1053921080

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JULIE A. TRYON (NURSE PRACTITIONER)
NPI
1053921080
Phone
(218) 368-8007
Address
23279 440TH ST
Enumeration Date
4 August 2020
Last Update Date
23 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2184442845
Graduation Year
2020 (6 years ago)
PAC ID
7810300308
Group Practice PAC ID
2365768199
Professional Enrollment ID
I20201229002790
Address ID
MN566014278BE519XXNWXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for JULIE A. TRYON (NURSE PRACTITIONER)

  • 23279 440TH ST

    LAPORTE, MN 564614749

    Phone: (218) 368-8007

    Type: Mailing

  • 1526 30TH ST NW

    BEMIDJI, MN 566014140

    Phone: (218) 751-0887

    Type: Location

  • 1002 WASHINGTON AVE S

    BEMIDJI, MN 566013453

    Phone: (218) 444-8090

    Fax: (218) 333-9434

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($58).

Total Amount

$88

General + Research + Ownership

Payments

3

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

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: 2020-12-29

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
I20201229002790INurse 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 56461)

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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: 2365768199View full group profile
NameSpecialtyState
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMT
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

Does JULIE A. TRYON (NURSE PRACTITIONER) have a public NPI I can cite?
Public records show JULIE A. TRYON (NURSE PRACTITIONER) under NPI 1053921080.
Does the public listing show JULIE A. TRYON (NURSE PRACTITIONER) as active?
JULIE A. TRYON (NURSE PRACTITIONER)'s NPI record reflects an active status in NPPES.
Which specialty label fits JULIE A. TRYON (NURSE PRACTITIONER)?
NPPES ties JULIE A. TRYON (NURSE PRACTITIONER) to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to JULIE A. TRYON (NURSE PRACTITIONER)?
The directory associates JULIE A. TRYON (NURSE PRACTITIONER) with Laporte, Minnesota. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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