Daleso Yadetta, PA
NPI 1962977728 · Physician Assistant · Coon Rapids, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Daleso Yadetta, PA is a Physician Assistant provider in Coon Rapids, MN (NPI 1962977728).
Provider details
- NPI number
- 1962977728
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 12817 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-09
- Last updated
- 2018-10-09
Frequently asked questions
- What is Daleso Yadetta's NPI number?
- Daleso Yadetta's National Provider Identifier (NPI) is 1962977728, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daleso Yadetta's specialty?
- Daleso Yadetta is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Daleso Yadetta located?
- Daleso Yadetta's practice location on file with NPPES is 11850 Blackfoot St Nw Ste 100, Coon Rapids, MN 55433-2774.
- What is Daleso Yadetta's phone number?
- The practice phone number listed in the NPPES registry for Daleso Yadetta is (763) 712-2100.
- Does Daleso Yadetta accept Medicare?
- Daleso Yadetta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Daleso Yadetta's NPI active?
- Yes — Daleso Yadetta's NPI (1962977728) is active in the NPPES registry as of the last update on 2018-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.