MARY ALIVIA TOLSMA PA
NPI 1023425402
Physician Assistant in Eagan, MN

Active since July 17, 2014PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
1885 PLAZA DR, EAGAN, MN 55122(952) 993-4001 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2024, Mar 11, 2021, Feb 19, 2019 (3 updates tracked since 2019).

About Mary Alivia Tolsma Pa NPPES

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

MARY ALIVIA TOLSMA PA (NPI 1023425402) is an individual physician assistant in Eagan, Minnesota, licensed in Minnesota (11616) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1023425402
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY ALIVIA TOLSMACredential: PA
Location Address1885 PLAZA DREagan, MN 55122-2979
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 17, 2014
Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
NPI 1023425402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 11616
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1885 PLAZA DR, Eagan, MN 55122

Secondary Practice Locations 3

Location 1671 Vandalia StreetSaint Paul, MN 55114 · Phone (651) 698-2406
Location 21880 N Frontage RdHastings, MN 55033 · Phone (651) 438-1800
Location 3451 Dunlap St NSaint Paul, MN 55104-4619 · Phone (651) 967-7201

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Alivia Tolsma Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577888544
PECOS Enrollment IDI20150214000036
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
201 services188 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
48 services45 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
46 services44 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
41 services40 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
21 services21 patients
Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55122 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier16 claims16 services$2.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant (Medical)
1885 PLAZA DR
EAGAN, MN 55122
Nurse Practitioner
1885 PLAZA DR
EAGAN, MN 55122
Nurse Practitioner (Family)
1885 PLAZA DR, PARK NICOLLET CLINIC - EAGAN
EAGAN, MN 55122
Social Worker (Clinical)
1885 PLAZA DR
EAGAN, MN 55122
Obstetrics & Gynecology
1885 PLAZA DR
EAGAN, MN 55122
Physician Assistant
1885 PLAZA DR
EAGAN, MN 55122
Nurse Practitioner (Pediatrics)
1885 PLAZA DR
EAGAN, MN 55122
Physician Assistant
1885 PLAZA DR
EAGAN, MN 55122

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 Tolsma's NPI number?

The NPI number for Mary Tolsma is 1023425402. It was assigned to this individual provider in the NPPES registry on July 17, 2014.

Where is Mary Tolsma located?

Mary Tolsma practices at 1885 Plaza Dr, Eagan, MN 55122. The listed phone number is (952) 993-4001.

What is Mary Tolsma's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Tolsma enrolled in Medicare?

Yes. Mary Tolsma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Tolsma accept?

Health plans from HealthPartners list Mary Tolsma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Tolsma affiliated with any hospitals?

According to CMS data, Mary Tolsma is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Mary Tolsma was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.