MRS. MARY SUSAN CLIPP CPNP-AC
NPI 1003150194
Nurse Practitioner - Pediatrics, Critical Care in Minneapolis, MN

Q: What is Mary Clipp's NPI number?

The NPI number for Mary Clipp is 1003150194. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Q: What is Mary Clipp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Q: When was this NPI record last updated?

The NPPES record for Mary Clipp was last updated on November 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 15, 2012PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 365-3100(612) 365-3110 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Mary Susan Clipp Cpnp-ac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY SUSAN CLIPP CPNP-AC (NPI 1003150194) is an individual pediatrics, critical care provider in Minneapolis, Minnesota, licensed in Minnesota (2036438) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003150194

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameMRS. MARY SUSAN CLIPPCredential: CPNP-AC

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address3333 Harriet AveMinneapolis, MN 55408-3729 · (773) 512-4511

Phone(612) 365-3100

Fax(612) 365-3110

Sole ProprietorNo

Enumeration DateNovember 15, 2012

✔ NPI 1003150194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in MN · 2036438

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Susan Clipp Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE IRENE GRAY

Rehabilitation Practitioner