Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY T SPADES
NPI 1952380677
Nurse Anesthetist, Certified Registered in Saint Louis Park, MN

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
6500 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55426(952) 993-5000 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2026, Dec 20, 2024, Dec 4, 2024 (3 updates tracked since 2024).

About Mary T Spades NPPES

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

MARY T SPADES (NPI 1952380677) is an individual nurse anesthetist, certified registered in Saint Louis Park, Minnesota, licensed in Minnesota (357) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1952380677
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARY T SPADES
Location Address6500 EXCELSIOR BLVDSaint Louis Park, MN 55426-4700
Mailing Address8170 33rd Ave S, Mailstop 21110qBloomington, MN 55425-4516 · (952) 883-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 11, 2006
Last NPPES UpdateSeptember 18, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1952380677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · 357
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 1187773 (MN)
6500 EXCELSIOR BLVD, Saint Louis Park, MN 55426

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary T Spades 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 ID5496755803
PECOS Enrollment IDI20070109000510
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

4

Medicare enrollment records show Mary Spades reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
  • Reassigned Medicare billing, Minnesota enrollment
  • 146 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
8100 NORTHLAND DRIVE
Minneapolis, MN 55431
  • Reassigned Medicare billing, Minnesota enrollment
  • 50 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1700 ST FRANCIS AVE, STE 100
Shakopee, MN 55379
  • Reassigned Medicare billing, Minnesota enrollment
  • 35 clinicians in this Medicare group
Anesthesiology
640 JACKSON ST
Saint Paul, MN 55101
  • Reassigned Medicare billing, Minnesota enrollment
  • 119 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
63 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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.

Obstetrics & Gynecology
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Obstetrics & Gynecology
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine (Cardiovascular Disease)
6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC - HEART & VASCULAR CENTER
ST LOUIS PARK, MN 55426
Occupational Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Physical Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Physical Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

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 Spades's NPI number?

The NPI number for Mary Spades is 1952380677. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Mary Spades located?

Mary Spades practices at 6500 Excelsior Blvd, Saint Louis Park, MN 55426. The listed phone number is (952) 993-5000.

What is Mary Spades's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mary Spades enrolled in Medicare?

Yes. Mary Spades 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.

Which organizations bill Medicare for Mary Spades's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Spades reassigns Medicare benefits to 4 organizations: Park Nicollet Methodist Hospital (St Louis Park, MN), Tria Orthopaedic Center LLC (Minneapolis, MN), St Francis Ambulatory Services LLC (Shakopee, MN) and Twin Cities Anesthesia Associates PC (Saint Paul, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Spades's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Spades was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.