Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tadele Benti Dinsa

Individual provider Nurse Practitioner · NPI 1902257553

Tadele Benti Dinsa is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2016, 10 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia, Minnesota and North Carolina.

Years since qualifying
10
Licensed in
GA, MN, NC
In the registry since
2016
Specialties on file
3

Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-3456
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2628 Northeast Expy Ne Apt C2, Atlanta, GA 30345-2589 — (404) 956-0540
  • 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 — (336) 718-8383

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9148 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 5012932 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN216596 (GA)

Record details

NPI number1902257553
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 24, 2016
Last updated in NPPESMay 2, 2022
Certification dateApril 22, 2022
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Paul