MARIE A DIAZ VARONA PSYD, LP
NPI 1720611148
Psychologist - Clinical in Maple Grove, MN

Q: What is Marie Diaz Varona's NPI number?

The NPI number for Marie Diaz Varona is 1720611148. It was assigned to this individual provider in the NPPES registry on February 13, 2020.

Q: What is Marie Diaz Varona's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Marie Diaz Varona was last updated on November 10, 2020. 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 February 13, 2020PECOS Enrolled

9555 UPLAND LN N, MAPLE GROVE, MN 55369(952) 993-1440 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 10, 2020, Feb 13, 2020 (2 updates tracked since 2020).

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About Marie A Diaz Varona Psyd, Lp NPPES

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

MARIE A DIAZ VARONA PSYD, LP (NPI 1720611148) is an individual clinical provider in Maple Grove, Minnesota, licensed in Minnesota (LP6508) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Ponce School Of Medicine (2017).

NPPES Registry Identity

NPI1720611148

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMARIE A DIAZ VARONACredential: PSYD, LP

Location Address9555 UPLAND LN NMaple Grove, MN 55369-4485

Mailing Address9555 Upland Ln NMaple Grove, MN 55369-4485 · (952) 993-1440

Phone(952) 993-1440

Sole ProprietorYes

Medical School CMSPonce School Of MedicineGraduated 2017

Enumeration DateFebruary 13, 2020

Last NPPES UpdateNovember 10, 20202 updates tracked since enumeration

NPPES CertifiedNovember 10, 2020

✔ NPI 1720611148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP6508

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

9555 UPLAND LN N, Maple Grove, MN 55369

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Secondary Practice Location 1

Location 1219 SE Main St Ste 400Minneapolis, MN 55414-2151 · Phone (612) 886-2524 · Fax (612) 886-2538

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marie A Diaz Varona Psyd, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244661122

PECOS Enrollment IDI20200508001082

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 Reassignments

Medicare enrollment records show Marie Diaz Varona reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Park Nicollet Clinic

5.4 mi

Family Medicine

7000 TARGET PKWY N
Brooklyn Park, MN 55445

Reassigned Medicare billing, Minnesota enrollment
2,527 clinicians in this Medicare group

NPI 1447668678 (952) 977-1985

Olas Psychology PLLC

14 mi

Clinical

1828 JEFFERSON ST NE
Minneapolis, MN 55418

Reassigned Medicare billing, Minnesota enrollment

NPI 1346074465 (787) 381-1055

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 55369 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

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 20

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

DAVID JEWISON M.D.

Family Medicine (Sports Medicine)