JEFFREY TEVEBAUGH EHMSEN (MD, PHD, MPH) – Student in an Organized Health Care Education/Training Program, NPI 1174827448
Student in an Organized Health Care Education/Training Program
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
166 MEDICAL ONCOLOGY in MN
Provider Addresses for JEFFREY TEVEBAUGH EHMSEN (MD, PHD, MPH)
200 1st St SW
Rochester, MN 559050001
Phone: (507) 284-2511
Type: Location
619 S Streeper St
Baltimore, MD 212243831
Phone: (443) 756-0413
Type: Location
PO BOX 860912
MINNEAPOLIS, MN 554860912
Phone: (507) 284-2511
Type: Mailing
1800 ORLEANS ST
BALTIMORE, MD 212870010
Phone: (410) 955-5000
Type: Location
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: 2025-10-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251017003163 | I | Medical Oncology | MD | TBD |
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.
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 55905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Neurology, Pediatric Medicine | MD | |
| N E U R O L O G Y | MD | |
| N E U R O L O G Y | NJ | |
| Ophthalmology, Medical Genetics And Genomics | MD | |
| - | MD | |
| - | MD | |
| Physical Medicine And Rehabilitation | MD | |
| P S Y C H I A T R Y | MD | |
| P S Y C H I A T R Y | MD | |
| Psychiatry, Neurology | MO |
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