MARY L WANGEN PA
NPI 1760716310
Physician Assistant in Roseville, MN

Active since September 30, 2009PECOS EnrolledAccepts Medicare Assignment
88.38/100
CMS Quality Rating
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113(651) 292-2000 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2021, Apr 30, 2019, Jul 16, 2018 and 1 more (4 updates tracked since 2017).

About Mary L Wangen Pa NPPES

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

MARY L WANGEN PA (NPI 1760716310) is an individual physician assistant in Roseville, Minnesota, licensed in Minnesota (10887) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1760716310
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY L WANGENCredential: PA
Location Address2355 HIGHWAY 36 W STE 100Roseville, MN 55113-3905
Mailing Address2355 Highway 36 W Ste 100Roseville, MN 55113-3905 · (651) 292-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 30, 2009
Last NPPES UpdateJuly 22, 20214 updates tracked since enumeration
NPPES CertifiedJuly 22, 2021
NPI 1760716310 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 · 10887
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.
2355 HIGHWAY 36 W STE 100, Roseville, MN 55113

Secondary Practice Locations 4

Location 1701 Park AveMinneapolis, MN 55415-1623 · Phone (612) 873-3000
Location 29055 Springbrook Dr NWCoon Rapids, MN 55433-5841 · Phone (763) 780-9155
Location 34801 W 81st St Ste 108Bloomington, MN 55437 · Phone (952) 837-9700 · Fax (952) 837-9701
Location 4250 Thompson StSaint Paul, MN 55102-2370 · Phone (651) 292-2000 · Fax (651) 292-2136

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 L Wangen Pa 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 ID8123166014
PECOS Enrollment IDI20110415000560
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 12

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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
337 services308 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
261 services261 patients
Imaging for evaluation of swallowing function 74230
This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.
143 services134 patients
Interpretation of trabecular bone score (tbs) and report on fracture risk 77092
The Trabecular Bone Score (TBS) is a tool that helps evaluate your bone health. It looks at the texture of your bones, which can indicate their strength. The results, combined with other tests, help assess your risk of future fractures.
53 services53 patients
Aspiration of fluid from chest cavity using imaging guidance 32555
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
50 services40 patients
Interpretation of trabecular bone score (tbs) and report on fracture risk 77092
The Trabecular Bone Score (TBS) is a tool that helps evaluate your bone health. It looks at the texture of your bones, which can indicate their strength. The results, combined with other tests, help assess your risk of future fractures.
46 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.55
Improvement Activities40
Cost66.26

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.

Nurse Practitioner
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Vascular & Interventional Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Physician Assistant
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Vascular & Interventional Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Vascular & Interventional Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113

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 Wangen's NPI number?

The NPI number for Mary Wangen is 1760716310. It was assigned to this individual provider in the NPPES registry on September 30, 2009.

Where is Mary Wangen located?

Mary Wangen practices at 2355 Highway 36 W Ste 100, Roseville, MN 55113. The listed phone number is (651) 292-2000.

What is Mary Wangen's specialty?

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

Is Mary Wangen enrolled in Medicare?

Yes. Mary Wangen 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 Wangen accept?

Health plans from Medica list Mary Wangen 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.

Is Mary Wangen affiliated with any hospitals?

According to CMS data, Mary Wangen is affiliated with Allina United Hospital and Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Mary Wangen was last updated on July 22, 2021. 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.