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DR. MARY LOUISE TRUCHON CRACKEL D.D.S.
NPI 1083841621
Dentist - General Practice in Minneapolis, MN

Active since June 22, 2009PECOS Enrolled
4243 4TH AVE S, MINNEAPOLIS, MN 55409(612) 822-9030(612) 821-2818 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Louise Truchon Crackel D.d.s. NPPES

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

DR. MARY LOUISE TRUCHON CRACKEL D.D.S. (NPI 1083841621) is an individual general practice provider in Minneapolis, Minnesota, licensed in Minnesota (D12694) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083841621
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARY LOUISE TRUCHON CRACKELCredential: D.D.S.
Location Address4243 4TH AVE SMinneapolis, MN 55409-2113
Mailing Address303 Main St NwElk River, MN 55330 · (763) 441-9181 · Fax (763) 269-8692
Phone(612) 822-9030
Fax(612) 821-2818
Sole ProprietorNo
Enumeration DateJune 22, 2009
Last NPPES UpdateApril 23, 2024
✔ NPI 1083841621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D12694
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4243 4TH AVE S, Minneapolis, MN 55409
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Other Names 1

Former Name (1)Mary Louise Truchon D.d.s.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.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)

Dr. Mary Louise Truchon Crackel D.d.s. 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 55409 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.

Other Providers at the Same Location NPPES 18

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

CHERYL ROMANA DDS
Dentist
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
DR. MARK T MCDERMOTT OD
Optometrist
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 821-2003
GAURANG BHARATKUMAR BHATT DDS
Dentist (General Practice)
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
VIA MARITH NESS RDH
Dental Hygienist
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
DR. NICOLETA TEREZIA AGRIGOROAE BOLOS DDS
Dentist
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
DR. MARIA KATALINA ZUNIGA-BRENES DDS
Dentist (General Practice)
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
JONEE ELIZABETH MEAGHER O.D.
Optometrist
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 821-2003
LONG THAO D.D.S.
Dentist
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030

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 Crackel's NPI number?

The NPI number for Mary Crackel is 1083841621. It was assigned to this individual provider in the NPPES registry on June 22, 2009. The provider is also known as Mary Louise Truchon D.D.S..

Where is Mary Crackel located?

Mary Crackel practices at 4243 4th Ave S, Minneapolis, MN 55409. The listed phone number is (612) 822-9030.

What is Mary Crackel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mary Crackel enrolled in Medicare?

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

What insurance does Mary Crackel accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Mary Crackel 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.

When was this NPI record last updated?

The NPPES record for Mary Crackel was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.