DR. MARY D MACKENBURG MOHN NP
NPI 1073690012
Nurse Practitioner - Gerontology in Minneapolis, MN

Q: What is Mary Mackenburg Mohn's NPI number?

The NPI number for Mary Mackenburg Mohn is 1073690012. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Mary Mackenburg Mohn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(126) 726-0006 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2022, Dec 15, 2021 (2 updates tracked since 2021).

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About Dr. Mary D Mackenburg Mohn Np NPPES

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

DR. MARY D MACKENBURG MOHN NP (NPI 1073690012) is an individual gerontology provider in Minneapolis, Minnesota, licensed in Minnesota (2472) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Sakakawea Medical Center - Cah, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1073690012

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameDR. MARY D MACKENBURG MOHNCredential: NP

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address2910 Centre Pointe Drive, 35121a Childrens Health CareRoseville, MN 55113 · (651) 855-2327 · Fax (651) 855-2310

Phone(126) 726-0006

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateNovember 1, 2006

Last NPPES UpdateJune 14, 20222 updates tracked since enumeration

NPPES CertifiedJune 14, 2022

✔ NPI 1073690012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MN · 2472

Also ListedNurse PractitionerTaxonomy 363L00000X · License R0933245 (MN), 0991736 (CO)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 0991736 (CO)

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License R0933245 (MN)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License R0933245 (MN)

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Other Identifiers 1

Medicaid878708200MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.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

Dr. Mary D Mackenburg Mohn Np 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 ID3577716158

PECOS Enrollment IDI20190304001484

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 9

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

60 services56 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

43 services43 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

39 services39 patients

Blood test, basic group of blood chemicals (calcium, ionized) 80047

A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.

22 services22 patients

Red blood cell concentration measurement 85014

Red blood cell concentration measurement is a routine blood test that assesses the number of red blood cells in your blood. These cells carry oxygen throughout your body. The test can help identify conditions like anemia or dehydration. It's a simple, quick, and relatively painless procedure.

22 services22 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Sakakawea Medical Center - Cah

Critical Access Hospitals · Hazen, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351310

Location510 8th Avenue NEHazen, ND 58545 · Mercer County

Emergency services

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.

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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$907.03 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.

MICHELLE IRENE GRAY

Rehabilitation Practitioner