MARY BAUMGARTNER MD
NPI 1003604034
Student in an Organized Health Care Education/Training Program in Saint Louis Park, MN
About Mary Baumgartner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY BAUMGARTNER MD (NPI 1003604034) is an individual student in an organized health care education/training program in Saint Louis Park, Minnesota and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Baumgartner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
ST LOUIS PARK, MN 55426
ST LOUIS PARK, MN 55426
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Baumgartner's NPI number?
The NPI number for Mary Baumgartner is 1003604034. It was assigned to this individual provider in the NPPES registry on April 29, 2025.
Where is Mary Baumgartner located?
Mary Baumgartner practices at 6600 Excelsior Blvd Ste 160, Saint Louis Park, MN 55426. The listed phone number is (952) 993-7705.
What is Mary Baumgartner's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Mary Baumgartner enrolled in Medicare?
Yes. Mary Baumgartner is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mary Baumgartner was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Baumgartner, MD · NPI 1003604034
Student in an Organized Health Care Education/Training Program provider in Saint Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since April 29, 2025.
## Identity
- **NPI:** 1003604034 (Entity type: Individual)
- **Enumerated:** April 29, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 6600 EXCELSIOR BLVD STE 160, Saint Louis Park, MN 55426-4713
- **Phone:** (952) 993-7705
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 29, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1003604034) · Data from the CMS NPPES public registry.