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MS. MARY MCENELLY PA C
NPI 1215993811
Physician Assistant in Thief River Falls, MN

Active since April 22, 2006
120 LABREE AVENUE SOUTH, NORTHWEST MEDICAL CENTER MENTAL HEALTH DIVISION, THIEF RIVER FALLS, MN 56701(218) 683-4351(218) 683-4362 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ms. Mary Mcenelly Pa C NPPES

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

MS. MARY MCENELLY PA C (NPI 1215993811) is an individual physician assistant in Thief River Falls, Minnesota, licensed in Minnesota (9315) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1215993811
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MARY MCENELLYCredential: PA C
Location Address120 LABREE AVENUE SOUTH, NORTHWEST MEDICAL CENTER MENTAL HEALTH DIVISIONThief River Falls, MN 56701
Mailing Address120 Labree Avenue South, Northwest Medical Center Mental Health DivisionThief River Falls, MN 56701 · (218) 683-4351 · Fax (218) 683-4362
Phone(218) 683-4351
Fax(218) 683-4362
Sole ProprietorNo
Enumeration DateApril 22, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1215993811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 9315
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
120 LABREE AVENUE SOUTH, Thief River Falls, MN 56701
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Other Providers at the Same Location NPPES

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

DR. STEVEN LEVINSON PHD
Psychologist
120 LABREE AVENUE SOUTH, NORTHWEST MEDICAL CENTER MENTAL HEALTH DIVISION
THIEF RIVER FALLS, MN 56701
Pennington County (218) 683-4351

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 Mcenelly's NPI number?

The NPI number for Mary Mcenelly is 1215993811. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Mary Mcenelly located?

Mary Mcenelly practices at 120 Labree Avenue South Northwest Medical Center Mental Health Division, Thief River Falls, MN 56701. The listed phone number is (218) 683-4351.

What is Mary Mcenelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mary Mcenelly was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.