MARY LOUISE DYSART CNP
NPI 1477645299
Nurse Practitioner - Adult Health in Minneapolis, MN

Q: What is Mary Dysart's NPI number?

The NPI number for Mary Dysart is 1477645299. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Mary Dysart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Dysart was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 September 29, 2006PECOS Enrolled

1 VETERANS DR, MINNEAPOLIS, MN 55417(612) 467-1285 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Louise Dysart Cnp NPPES

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

MARY LOUISE DYSART CNP (NPI 1477645299) is an individual adult health provider in Minneapolis, Minnesota, licensed in Minnesota (R078900-4) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477645299

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMARY LOUISE DYSARTCredential: CNP

Location Address1 VETERANS DRMinneapolis, MN 55417-2309

Mailing Address8756 140th Street BlvdApple Valley, MN 55124-9420 · (612) 467-1285 · Fax (612) 727-5631

Phone(612) 467-1285

Sole ProprietorNo

Enumeration DateSeptember 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1477645299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MN · R078900-4

1 VETERANS DR, Minneapolis, MN 55417

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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 Louise Dysart 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 55417 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.

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.

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