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MARY BERNTON MD
NPI 1184287070
Internal Medicine in Minneapolis, MN

Active since April 17, 2019PECOS Enrolled
401 4TH AVE S, MINNEAPOLIS, MN 55415(612) 348-8413 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 30, 2023, Apr 17, 2019 (2 updates tracked since 2019).

About Mary Bernton Md NPPES

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

MARY BERNTON MD (NPI 1184287070) is an individual internal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (72152) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Robbinsdale.

NPPES Registry Identity

NPI1184287070
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARY BERNTONCredential: MD
Location Address401 4TH AVE SMinneapolis, MN 55415-1333
Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-3000
Phone(612) 348-8413
Sole ProprietorNo
Enumeration DateApril 17, 2019
Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1184287070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 72152
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
401 4TH AVE S, Minneapolis, MN 55415
Open in Google Maps ↗

Secondary Practice Location 1

Location 13300 Oakdale Ave NRobbinsdale, MN 55422-2926 · Phone (763) 520-5200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Rosebud Indian Health Service
396 mi
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
NPI 1194757369 (605) 747-3245

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

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55415 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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

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

LEWIS HUDSON SIMPLER APRN, CNP
Nurse Practitioner (Family)
401 4TH AVE S
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-8413

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 Bernton's NPI number?

The NPI number for Mary Bernton is 1184287070. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Mary Bernton located?

Mary Bernton practices at 401 4th Ave S, Minneapolis, MN 55415. The listed phone number is (612) 348-8413.

What is Mary Bernton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mary Bernton enrolled in Medicare?

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

Which organization bills Medicare for Mary Bernton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Bernton reassigns Medicare benefits to Rosebud Indian Health Service (Rosebud, SD). 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 Bernton'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 Bernton was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.