MARY TELLIER PAS
NPI 1649759689
Physician Assistant in Milwaukee, WI

Active since August 10, 2018PECOS EnrolledAccepts Medicare Assignment
2801 W KK RIVER PKWY STE 575, MILWAUKEE, WI 53215(414) 649-3240 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2025, Feb 22, 2023, Jan 24, 2022 and 3 more (6 updates tracked since 2018).

About Mary Tellier Pas NPPES

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

MARY TELLIER PAS (NPI 1649759689) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (5920) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649759689
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY TELLIERCredential: PAS
Location Address2801 W KK RIVER PKWY STE 575Milwaukee, WI 53215-5200
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 10, 2018
Last NPPES UpdateFebruary 12, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
NPI 1649759689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 5920
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2801 W KK RIVER PKWY STE 575, Milwaukee, WI 53215

Secondary Practice Locations 2

Location 1800 E 28th St, Ste. H2100Minneapolis, MN 55407-3723 · Phone (612) 863-3900
Location 26901 W Edgerton AveGreenfield, WI 53220-4420 · Phone (414) 325-5244 · Fax (414) 421-3772

Other Identifiers 1

Medicaid100085581WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Tellier Pas 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.

PECOS PAC ID5799021911
PECOS Enrollment IDI20190109001805, I20230418001834
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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

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

Obstetrics & Gynecology (Gynecologic Oncology)
2801 W KK RIVER PKWY STE 575
MILWAUKEE, WI 53215

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 Tellier's NPI number?

The NPI number for Mary Tellier is 1649759689. It was assigned to this individual provider in the NPPES registry on August 10, 2018.

Where is Mary Tellier located?

Mary Tellier practices at 2801 W Kk River Pkwy Ste 575, Milwaukee, WI 53215. The listed phone number is (414) 649-3240.

What is Mary Tellier's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Tellier enrolled in Medicare?

Yes. Mary Tellier 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.

What insurance does Mary Tellier accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica and 1 other insurer list Mary Tellier 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 Mary Tellier was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.