MARY L EZZO MD
NPI 1659332021
Family Medicine in Woodbury, MN

Q: What is Mary Ezzo's NPI number?

The NPI number for Mary Ezzo is 1659332021. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is Mary Ezzo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Ezzo was last updated on February 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 March 28, 2006PECOS Enrolled

8675 VALLEY CREEK ROAD, WOODBURY, MN 55125(651) 241-3000(651) 483-2155 Get Directions Write a Review

NPPES record last updated: February 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mary L Ezzo Md NPPES

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

MARY L EZZO MD (NPI 1659332021) is an individual family medicine provider in Woodbury, Minnesota, licensed in Minnesota (26943) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659332021

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARY L EZZOCredential: MD

Location Address8675 VALLEY CREEK ROADWoodbury, MN 55125-2337

Mailing Address2925 Chicago AvenueMinneapolis, MN 55407-1321 · (612) 262-5000 · Fax (612) 262-4194

Phone(651) 241-3000

Fax(651) 483-2155

Sole ProprietorNo

Enumeration DateMarch 28, 2006

Last NPPES UpdateFebruary 8, 2012

✔ NPI 1659332021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 26943

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8675 VALLEY CREEK ROAD, Woodbury, MN 55125

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Other Identifiers 1

Medicare UPINA96417

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 L Ezzo Md 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 55125 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 4

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

KAREN J. SEDIVY MD

Family Medicine

8675 VALLEY CREEK ROAD
WOODBURY, MN 55125

Washington County (651) 241-3000

ARIEL LYNN CARLS MD

Family Medicine

8675 VALLEY CREEK ROAD, ALLINA MEDICAL CLINIC WOODBURY
WOODBURY, MN 55125

Washington County (651) 241-3000

RAMSEY EVAN PETERSON MD

Family Medicine

8675 VALLEY CREEK ROAD
WOODBURY, MN 55125

Washington County (651) 241-3000

SIGNE BOBBITT

Psychologist (Clinical)

8675 VALLEY CREEK ROAD
WOODBURY, MN 55125

Washington County (651) 241-3000

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 Ezzo's NPI number?

The NPI number for Mary Ezzo is 1659332021. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Mary Ezzo located?

Mary Ezzo practices at 8675 Valley Creek Road, Woodbury, MN 55125. The listed phone number is (651) 241-3000.

What is Mary Ezzo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Ezzo enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary Ezzo was last updated on February 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.