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

Tristan Pennella, DO

Individual provider Family Medicine Physician · NPI 1356923361

Tristan Pennella, DO is a Family Practice in Excelsior, Minnesota. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2021, 5 years ago. Practices with Ridgeview Medical Center, a 406-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
5
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
MN
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

675 Water St
Excelsior, MN 55331-3158
Phone: (952) 906-7855
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 73409 (MN)

Record details

NPI number1356923361
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 28, 2021
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address675 Water St, Excelsior, MN 55331-3158

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2021 (5 years in practice)
Group practice Ridgeview Medical Center — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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