MARY OMANN DC
NPI 1639048754
Chiropractor in Excelsior, MN

Active since November 05, 2025
373 GEORGE ST, EXCELSIOR, MN 55331(952) 474-3359 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary Omann Dc NPPES

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

MARY OMANN DC (NPI 1639048754) is an individual chiropractor in Excelsior, Minnesota, licensed in Minnesota (7383) and active in the NPI registry since November 2025. She is a graduate of Palmer College Chiropractic - Davenport (2025).

NPPES Registry Identity

NPI1639048754
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameMARY OMANNCredential: DC
Location Address373 GEORGE STExcelsior, MN 55331-3061
Mailing Address5707 Highway 7 Apt 331Saint Louis Park, MN 55416-5087 · (630) 673-4294
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2025
Enumeration DateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
✔ NPI 1639048754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 7383
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
373 GEORGE ST, Excelsior, MN 55331

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Omann Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890270706
PECOS Enrollment IDI20260330001043

Medicare Billing Reassignment

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

Same address
Chiropractor
373 GEORGE ST
Excelsior, MN 55331
  • Reassigned Medicare billing, Minnesota enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
373 GEORGE ST
EXCELSIOR, MN 55331
Chiropractor
373 GEORGE ST
EXCELSIOR, MN 55331
Chiropractor
373 GEORGE ST
EXCELSIOR, MN 55331
Chiropractor
373 GEORGE ST
EXCELSIOR, MN 55331

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 Omann's NPI number?

The NPI number for Mary Omann is 1639048754. It was assigned to this individual provider in the NPPES registry on November 5, 2025.

Where is Mary Omann located?

Mary Omann practices at 373 George St, Excelsior, MN 55331. The listed phone number is (952) 474-3359.

What is Mary Omann's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mary Omann enrolled in Medicare?

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

Which organization bills Medicare for Mary Omann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Omann reassigns Medicare benefits to Mcsharry Chiro LLC (Excelsior, 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 Mary Omann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Omann was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.