Active NPI
Tessa Kay Marie Parker Koch, FNP-BC
- Family Nurse Practitioner
- Edina, MN
National Provider Identifier
1245007483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10925
- Practice address
- 7500 France Ave S
Edina, MN 55435-3400 - Phone
- (952) 927-6501
- Fax
- (833) 905-0988
- NPI assigned
- Dec 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10925 | MN | Primary |
Addresses
Primary practice location
7500 France Ave S
Edina, MN 55435-3400
Mailing address
3001 Metro Dr Ste 460
Bloomington, MN 55425-1548
Other names 1
- Tessa Kay Marie Parker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7500 France Ave S
Edina, MN 55435-3400
Phone (952) 927-6501
Hospital & facility affiliations
- Abbott Northwestern Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10925 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Urology, PA | Current | Accepting new patients | |
| Metropolitan Urologic Specialists PA | Past | Accepting new patients |
Locations
3001 Metro Dr
Ste 460
Minneapolis, MN 55425
Phone (651) 999-7022
7500 France Ave S
Minneapolis, MN 55435
Phone (952) 835-1311
6025 Lake Rd
Ste 200
Woodbury, MN 55125
Interoperability endpoints
- tessa.kay.koch.1@20581.direct.athenahealth.com
- https://api.platform.athenahealth.com/20581/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Woodbury, MN
- NPI 1912971912
-
- Urology Physician
- Woodbury, MN
- NPI 1831367168
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1245007483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 METRO DR STE 460",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554251548",
"fax_number": "651-999-6970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 FRANCE AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "554353400",
"telephone_number": "952-927-6501",
"fax_number": "833-905-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "TESSA KAY",
"middle_name": "MARIE PARKER",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "10925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TESSA KAY",
"last_name": "PARKER",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.