TERESA MALLOW
NPI 1396055851
Nurse Practitioner - Adult Health in St Louis Park, MN
About Teresa Mallow NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERESA MALLOW (NPI 1396055851) is an individual adult health provider in St Louis Park, Minnesota, licensed in Minnesota (A0810006) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Teresa Mallow is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Teresa Mallow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNHutchinson Health
Acute Care Hospitals · Hutchinson, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ST LOUIS PARK, MN 55426
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 Teresa Mallow's NPI number?
The NPI number for Teresa Mallow is 1396055851. It was assigned to this individual provider in the NPPES registry on October 19, 2010.
Where is Teresa Mallow located?
Teresa Mallow practices at 6500 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-3123.
What is Teresa Mallow's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Teresa Mallow enrolled in Medicare?
Yes. Teresa Mallow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Teresa Mallow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Mallow reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, MN). 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 Teresa Mallow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Teresa Mallow accept?
Health plans from HealthPartners list Teresa Mallow 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.
Is Teresa Mallow affiliated with any hospitals?
According to CMS data, Teresa Mallow is affiliated with Park Nicollet Methodist Hospital and Hutchinson Health.
When was this NPI record last updated?
The NPPES record for Teresa Mallow was last updated on October 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Teresa Mallow · NPI 1396055851
Adult Health physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since October 19, 2010.
## Identity
- **NPI:** 1396055851 (Entity type: Individual)
- **Enumerated:** October 19, 2010
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** A0810006 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6500 EXCELSIOR BLVD, St Louis Park, MN 55426-4702
- **Phone:** (952) 993-3123
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 19, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1396055851) · Data from the CMS NPPES public registry.