DEANA M THOMASSON (RN, CPNP) – Pediatric Nurse Practitioner, NPI 1093991499

DEANA M THOMASSON (RN, CPNP) is a healthcare provider. based in Saint paul, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, CPNP. They hold a License No. 20071446 (MN). The NPI Number for DEANA M THOMASSON (RN, CPNP) is 1093991499

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DEANA M THOMASSON (RN, CPNP)
NPI
1093991499
Phone
(651) 578-5204
Address
200 UNIVERSITY AVE E
Enumeration Date
15 January 2008
Last Update Date
13 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512912848
Graduation Year
2007 (19 years ago)
PAC ID
8527146174
Group Practice PAC ID
0547169211
Professional Enrollment ID
I20080422000670
Address ID
MN551012507SA200XXEXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for DEANA M THOMASSON (RN, CPNP)

  • 200 UNIVERSITY AVE E

    SAINT PAUL, MN 551012507

    Phone: (651) 578-5204

    Mailing address matches the actual address.

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: 2008-04-22

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
I20080422000670INurse 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 55101)

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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: 0547169211View full group profile
NameSpecialtyState
-MN
Physician AssistantMN
Orthopedic SurgeryMN
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)MN
N E U R O L O G YMN
Nurse PractitionerMN
-MN
Physical Medicine And RehabilitationMN
Internal Medicine, Pediatric MedicineMN

Reviews

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Frequently asked questions

What NPI should I save for DEANA M THOMASSON (RN, CPNP)?
Save NPI 1093991499 if you need a stable reference for DEANA M THOMASSON (RN, CPNP).
Is DEANA M THOMASSON (RN, CPNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DEANA M THOMASSON (RN, CPNP)?
The page reflects Pediatric Nurse Practitioner for DEANA M THOMASSON (RN, CPNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for DEANA M THOMASSON (RN, CPNP)?
The page summarizes Saint Paul, Minnesota for DEANA M THOMASSON (RN, CPNP); expand the address list for detail.
How can I contact DEANA M THOMASSON (RN, CPNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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