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Active NPI 1477086288 Individual Practitioner Female Practitioner

Dr. Tess Michielutti , MD

Pediatrics • Maple Grove, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Tess Michielutti, MD is a certified Pediatrics practicing in Maple Grove, MN. With approximately 9 years of clinical experience since graduating from University Of Minnesota Medical School in 2017, Dr. Michielutti delivers high-quality medical care to the local community at 9555 UPLAND LN N.

Dr. Michielutti is affiliated with Park Nicollet Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, blood test, lipids (cholesterol and triglycerides). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9555 Upland Ln N

Maple Grove, MN 553694485

Telephone 9529931440
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Maple Grove, MN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -13.0 yrs vs City Avg
City Avg: 22.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
30 Specialists

Practicing in Maple Grove, MN (1325 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
74.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Michielutti (9 Years) 9 Yrs
Maple Grove Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
185 81 $21.50 $8.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
94 70 $478.00 $120.76
99213 Established patient office or other outpatient visit, typically 15 minutes
63 46 $338.00 $87.23
80061 Blood test, lipids (cholesterol and triglycerides)
55 47 $53.55 $13.06
83036 Hemoglobin A1C level
55 48 $38.70 $9.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
51 51 $484.00 $123.34
80048 Blood test, basic group of blood chemicals (calcium, total)
40 33 $33.80 $8.29
82565 Blood creatinine level
35 31 $20.50 $5.02
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
30 26 $31.00 $7.61
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)
29 27 $27.95 $6.87
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
22 18 $62.00 $15.70
80053 Blood test, comprehensive group of blood chemicals
20 19 $42.30 $10.35
84460 Liver enzyme (sgpt), level
19 16 $21.25 $5.19
82248 Bilirubin level, direct
13 13 $20.00 $4.92

Medical Specialties & State Licenses

CMS Verified: 2021-10-25
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 67174

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MN 67174

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Park Nicollet Clinic

4155 County Rd 101, Plymouth, MN 554462307

Phone: 9529938900

Park Nicollet Clinic

12142 Business Park Blvd N, Champlin, MN 553164525

Phone: 9529770500

Park Nicollet Clinic

6000 Earle Brown Dr, Brooklyn Center, MN 554302506

Phone: 9529934900

Park Nicollet Clinic

5320 Hyland Greens Dr, Bloomington, MN 554373934

Phone: 9529932400

Park Nicollet Clinic

15800 95th Ave N, Maple Grove, MN 553694400

Phone: 9529931440

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Michelle Pemble-Frazey , PhD

Psychologist - Cognitive & Behavioral

NPI 1013116342

Doctor of Philosophy (Ph.D.)

Rebekka Mcclure , MA, LMFT

Marriage & Family Therapist

NPI 1023352226

Master of Arts, Licensed Marriage and Family Therapist

Natasha Mills

Psychologist

NPI 1023443629
Nickolas Williams

Psychiatry & Neurology - Psychiatry

NPI 1053840041
Dr. Reann Mcguire , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1073233292

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Daniel Keeley , MD

Internal Medicine

NPI 1073627220

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address October 25, 2021

Registered at 8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 554254516

📍
Updated Practice Location July 01, 2021

Registered at 9555 UPLAND LN N, MAPLE GROVE, MN 553694485 (Tel: 9529931440)

📍
Updated Business Mailing Address July 01, 2021

Registered at 9555 UPLAND LN N, MAPLE GROVE, MN 553694485 (Tel: 9529931440)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2021

Internal Medicine (License #67174 in MN)

👤
Provider Name / Credentials Updated September 18, 2019

Recorded as TESS MICHIELUTTI, MD

NPI Profile Active April 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2017

Registered at 420 DELAWARE ST SE, MMC 913, MINNEAPOLIS, MN 554550341 (Tel: 6126240990)

📍
Updated Business Mailing Address April 07, 2017

Registered at 420 DELAWARE ST SE, MMC 913, MINNEAPOLIS, MN 554550341 (Tel: 6126240990)

👤
Provider Name / Credentials Updated April 07, 2017

Recorded as TESS BARIL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 07, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477086288
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2017
Last Update: October 25, 2021
Sole Proprietor: Yes

Mailing Address

8170 33rd Ave S # Ms 21110q

Bloomington, MN 554254516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.