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MARY THERESA MCGUIRE CLARK CNP
NPI 1265836928
Nurse Practitioner - Family in West Saint Paul, MN

Active since October 09, 2014PECOS Enrolled
83.53/100
CMS Quality Rating
150 EMERSON AVE E, WEST SAINT PAUL, MN 55118(651) 241-1800 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Theresa Mcguire Clark Cnp NPPES

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

MARY THERESA MCGUIRE CLARK CNP (NPI 1265836928) is an individual family provider in West Saint Paul, Minnesota, licensed in Minnesota (F1014276) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265836928
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY THERESA MCGUIRE CLARKCredential: CNP
Location Address150 EMERSON AVE EWest Saint Paul, MN 55118-2535
Mailing Address5439 Upper 147th St WApple Valley, MN 55124-6665 · (612) 730-8117
Phone(651) 241-1800
Sole ProprietorNo
Enumeration DateOctober 9, 2014
Last NPPES UpdateNovember 9, 2020
NPPES CertifiedNovember 9, 2020
✔ NPI 1265836928 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 MN · F1014276
150 EMERSON AVE E, West Saint Paul, MN 55118
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, 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 (PECOS)

Mary Theresa Mcguire Clark Cnp 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 55118 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

LAURA HURLEY
Family Medicine
150 EMERSON AVE E
WEST ST PAUL, MN 55118
Dakota County (651) 241-1800
DR. SIMON NICHOLAS FENTON MD
Family Medicine
150 EMERSON AVE E
SAINT PAUL, MN 55118
Dakota County (651) 241-1800
ALLINA HEALTH SYSTEM
Family Medicine
150 EMERSON AVE E
WEST ST PAUL, MN 55118
Dakota County (651) 241-1800
CAROLYN J BOROW MD
Family Medicine
150 EMERSON AVE E
SAINT PAUL, MN 55118
Dakota County (651) 552-3800
DR. MELISSA BAUGHMAN DO
Family Medicine
150 EMERSON AVE E
WEST ST PAUL, MN 55118
Dakota County (651) 241-1800
DR. BRIAN DAVID KANTER M.D.
Military Health Care Provider
150 EMERSON AVE E, ALLINA WEST ST. PAUL
WEST ST PAUL, MN 55118
Dakota County (612) 467-1100
EMMA S OSTBY MD
Family Medicine
150 EMERSON AVE E
WEST ST PAUL, MN 55118
Dakota County (651) 241-1800
RACHEL ANNE HOGAN LICSW
Social Worker (Clinical)
150 EMERSON AVE E
WEST ST PAUL, MN 55118
Dakota County (651) 241-1800

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 Clark's NPI number?

The NPI number for Mary Clark is 1265836928. It was assigned to this individual provider in the NPPES registry on October 9, 2014.

Where is Mary Clark located?

Mary Clark practices at 150 Emerson Ave E, West Saint Paul, MN 55118. The listed phone number is (651) 241-1800.

What is Mary Clark's specialty?

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

Is Mary Clark enrolled in Medicare?

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

What insurance does Mary Clark accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Mary Clark 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 Clark was last updated on November 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.