MAGGIE MARIE PRUNTY CNP
NPI 1568925634
Nurse Practitioner - Adult Health in Saint Paul, MN

Q: What is Maggie Prunty's NPI number?

The NPI number for Maggie Prunty is 1568925634. It was assigned to this individual provider in the NPPES registry on April 7, 2019.

Q: What is Maggie Prunty'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 Maggie Prunty was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 07, 2019PECOS Enrolled

1026 7TH ST W, SAINT PAUL, MN 55102(651) 758-9500(651) 241-1058 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2021, Oct 28, 2019, Apr 7, 2019 (3 updates tracked since 2019).

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About Maggie Marie Prunty Cnp NPPES

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

MAGGIE MARIE PRUNTY CNP (NPI 1568925634) is an individual adult health provider in Saint Paul, Minnesota, licensed in Minnesota (6730) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1568925634

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMAGGIE MARIE PRUNTYCredential: CNP

Location Address1026 7TH ST WSaint Paul, MN 55102-3828

Mailing Address1026 7th St WSaint Paul, MN 55102-3828 · (516) 758-9500

Phone(651) 758-9500

Fax(651) 241-1058

Sole ProprietorYes

Enumeration DateApril 7, 2019

Last NPPES UpdateSeptember 16, 20213 updates tracked since enumeration

NPPES CertifiedApril 19, 2021

✔ NPI 1568925634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LA2200X

License✔ Licensed in MN · 6730

Also ListedRegistered NurseTaxonomy 163W00000X · License 28238096A (IN), 2288448 (MN)

1026 7TH ST W, Saint Paul, MN 55102

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Secondary Practice Location 1

Location 17801 E Bush Lake Rd Ste 400Minneapolis, MN 55439-3113 · Phone (952) 345-1066

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maggie Marie Prunty 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.

Medicare Billing Reassignment

Medicare enrollment records show Maggie Prunty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ltc Professionals, PLLC

12 mi

Internal Medicine

7801 EAST BUSH LAKE RD, SUITE 400
Bloomington, MN 55439

Reassigned Medicare billing, Minnesota enrollment
19 clinicians in this Medicare group

NPI 1417251935 (952) 479-4261

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.

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers14 claims27 services$4.10 avg. paid by Medicare

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$4.39 avg. paid by Medicare

Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$24.07 avg. paid by Medicare

Insertion tray with drainage bag but without catheter A4354

DME-Medical/Surgical Supplies · category DA000N

1 supplier13 claims13 services$10.53 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier13 claims26 services$8.66 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. RENEE LYNN CLARK DNP, CNM

Advanced Practice Midwife