MARY J BJORNSTAD FNP
NPI 1104935261
Nurse Practitioner - Family in Sullivan, MO

Q: What is Mary Bjornstad's NPI number?

The NPI number for Mary Bjornstad is 1104935261. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Mary Bjornstad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Bjornstad was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 30, 2006PECOS Enrolled

965 MATTOX DR, SULLIVAN, MO 63080(573) 860-6000(573) 860-6016 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mary J Bjornstad Fnp NPPES

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

MARY J BJORNSTAD FNP (NPI 1104935261) is an individual family provider in Sullivan, Missouri, licensed in Missouri (072682) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104935261

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY J BJORNSTADCredential: FNP

Location Address965 MATTOX DRSullivan, MO 63080-2365

Mailing Address965 Mattox DrSullivan, MO 63080-2365 · (573) 860-6000

Phone(573) 860-6000

Fax(573) 860-6016

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateMay 13, 2021

NPPES CertifiedMay 13, 2021

✔ NPI 1104935261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in MO · 072682

965 MATTOX DR, Sullivan, MO 63080

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Other Identifiers 1

Medicaid425813508MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary J Bjornstad Fnp 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 Bjornstad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Missouri Baptist Hospital Of Sullivan

0.1 mi

Rural Health

751 SAPPINGTON BRIDGE RD
Sullivan, MO 63080

Reassigned Medicare billing, Missouri enrollment
76 clinicians in this Medicare group

NPI 1235228222 (573) 468-4186

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 63080 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

RACHEL SALTZMAN

Dietitian, Registered