DR. MARLIEKE VAN TYN MD
NPI 1487731527
Pediatrics in Saint Paul, MN
About Dr. Marlieke Van Tyn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARLIEKE VAN TYN MD (NPI 1487731527) is an individual pediatrics provider in Saint Paul, Minnesota, licensed in Minnesota (42369) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Marlieke Van Tyn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Marlieke Van Tyn reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Children's Health Care
- 551 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 218 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55102 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.
SAINT PAUL, MN 55102
SAINT PAUL, MN 55102
SAINT PAUL, MN 55102
SAINT PAUL, MN 55102
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 Marlieke Van Tyn's NPI number?
The NPI number for Marlieke Van Tyn is 1487731527. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Dr. Marlieke Van Tyn Dahlberg MD.
Where is Marlieke Van Tyn located?
Marlieke Van Tyn practices at 233 Grand Ave Pediatric And Young Adult Medicine, PA, Saint Paul, MN 55102. The listed phone number is (651) 227-7806.
What is Marlieke Van Tyn's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Marlieke Van Tyn enrolled in Medicare?
Yes. Marlieke Van Tyn is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Marlieke Van Tyn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marlieke Van Tyn reassigns Medicare benefits to 4 organizations: Childrens Health Care (St Paul, MN), Healtheast St. John's Hospital (Saint Paul, MN), Emergency Care Consultants, PA (Minneapolis, MN) and Healtheast Woodwinds Hospital (Woodbury, MN). Each 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 Marlieke Van Tyn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marlieke Van Tyn accept?
Health plans from HealthPartners list Marlieke Van Tyn 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 Marlieke Van Tyn was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Marlieke Van Tyn, MD · NPI 1487731527
Pediatrics physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1487731527 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 42369 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 233 GRAND AVE, PEDIATRIC AND YOUNG ADULT MEDICINE, PA, Saint Paul, MN 55102-2331
- **Phone:** (651) 227-7806 · **Fax:** (651) 256-6710
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Childrens Health Care (NPI 1225132566, St Paul, MN); Healtheast St. John's Hospital (NPI 1558240853, Saint Paul, MN); Emergency Care Consultants, PA (NPI 1669422788, Minneapolis, MN); Healtheast Woodwinds Hospital (NPI 1356309322, Woodbury, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2008
- **Other identifiers:** Medicaid 34134900 (WI); Medicare UPIN H49320; Medicaid 086670900 (MN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1487731527) · Data from the CMS NPPES public registry.