Active NPI
Twila B Germanson, MD
- Psychiatry Physician
- Minnetonka, MN
National Provider Identifier
1386752863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 43294
- Practice address
- 13911 Ridgedale Dr., Ste 320
Minnetonka, MN 55305 - Phone
- (952) 956-4057
- Fax
- (952) 333-8196
- NPI assigned
- Aug 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 43294 | MN | Primary |
Addresses
Primary practice location
13911 Ridgedale Dr., Ste 320
Minnetonka, MN 55305
Mailing address
1161 Wayzata Blvd E # 228
Wayzata, MN 55391-1935
Phone (952) 956-4057
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279G1GE | Other | MN | BCBS MN |
| 816898900 | Medicaid | MN | |
| 171122 | Other | MN | VCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Pillager, MN
- NPI 1891740957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1386752863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1161 WAYZATA BLVD E # 228",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553911935",
"telephone_number": "952-956-4057",
"fax_number": "952-333-8196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13911 RIDGEDALE DR., STE 320",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55305",
"telephone_number": "952-956-4057",
"fax_number": "952-333-8196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERMANSON",
"first_name": "TWILA",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-26",
"last_updated": "2020-12-15",
"certification_date": "2020-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "43294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "279G1GE",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "816898900",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VCARE",
"identifier": "171122",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.