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DR. MARY NESVIG MD
NPI 1073572038
Family Medicine in W. St. Paul, MN

Active since March 20, 2006PECOS Enrolled
153 CESAR CHAVEZ ST, W. ST. PAUL, MN 55107(651) 222-1816(651) 222-1305 Get Directions Write a Review

NPPES record last updated: April 22, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mary Nesvig Md NPPES

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

DR. MARY NESVIG MD (NPI 1073572038) is an individual family medicine provider in W. St. Paul, Minnesota, licensed in Minnesota (32549) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073572038
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARY NESVIGCredential: MD
Location Address153 CESAR CHAVEZ STW. St. Paul, MN 55107-2226
Mailing Address153 Cesar Chavez StW. St. Paul, MN 55107-2226 · (651) 222-1816 · Fax (651) 222-1305
Phone(651) 222-1816
Fax(651) 222-1305
Sole ProprietorNo
Enumeration DateMarch 20, 2006
Last NPPES UpdateApril 22, 2013
✔ NPI 1073572038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 32549
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
153 CESAR CHAVEZ ST, W. St. Paul, MN 55107
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Other Identifiers 9

Medicare UPINE44233MN
OtherHP14053MN · Healthpartners
Medicaid375395600MN
Other3F110NEMN · Bcbs
OtherNA9021006638FM · Preferred One
Other0125623MN · Medica
Other105727MN · Ucare
Medicare ID-Type Unspecified080013364MN
Medicare PIN080013364MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Nesvig Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Nesvig reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

West Side Community Health Services, Inc
Same address
Federally Qualified Health Center (FQHC)
153 CESAR CHAVEZ ST
Saint Paul, MN 55107
  • Reassigned Medicare billing, Minnesota enrollment
  • 101 clinicians in this Medicare group
NPI 1437118619 (651) 222-1816

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55107 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.

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.

JEANNE RANCONE
Nurse Practitioner
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 222-1816
SHAUN SAVA PA-C
Physician Assistant (Medical)
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 389-2540
DR. JUSTIN LEE ANDERSON PHARMD
Pharmacist
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 602-7589
LISA SMITH CNM
Advanced Practice Midwife
153 CESAR CHAVEZ ST, WESTSIDE COMMUNITY HEALTH SERVICES, INC.
W. ST. PAUL, MN 55107
Ramsey County (651) 602-7552
KAREN WOLF
Nurse Practitioner
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 222-1816
ISETTA PIERRE MA, LMFT
Marriage & Family Therapist
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 602-7500
MS. CHELSEA OKORAFOR CNM
Advanced Practice Midwife
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 602-7500
TAMARA JACKMAN
Advanced Practice Midwife
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 222-1816

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 Nesvig's NPI number?

The NPI number for Mary Nesvig is 1073572038. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Mary Nesvig located?

Mary Nesvig practices at 153 Cesar Chavez St, W. St. Paul, MN 55107. The listed phone number is (651) 222-1816.

What is Mary Nesvig's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Nesvig enrolled in Medicare?

Yes. Mary Nesvig is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Nesvig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Nesvig reassigns Medicare benefits to West Side Community Health Services, Inc (Saint Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Nesvig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Nesvig was last updated on April 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.