TAMMY LEE MERTENS PA-C
NPI 1730582164
Physician Assistant in Minneapolis, MN

Q: What is Tammy Mertens's NPI number?

The NPI number for Tammy Mertens is 1730582164. It was assigned to this individual provider in the NPPES registry on September 30, 2014. The provider is also known as Tammy Lee Kippley Pa-C.

Q: What is Tammy Mertens's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tammy Mertens was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 30, 2014PECOS EnrolledAccepts Medicare Assignment

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 273-3000 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2022, Sep 14, 2018 (2 updates tracked since 2018).

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About Tammy Lee Mertens Pa-c NPPES

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

TAMMY LEE MERTENS PA-C (NPI 1730582164) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (11655) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1730582164

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTAMMY LEE MERTENSCredential: PA-C

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454

Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450 · (612) 672-6000

Phone(612) 273-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 30, 2014

Last NPPES UpdateNovember 1, 20222 updates tracked since enumeration

NPPES CertifiedNovember 1, 2022

✔ NPI 1730582164 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 MN · 11655

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.

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Other Names 1

Former Name (1)Tammy Lee Kippley Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Tammy Lee Mertens Pa-c 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 ID244553816

PECOS Enrollment IDI20150107000526

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240080

Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 20

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

MICHELLE IRENE GRAY

Rehabilitation Practitioner