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CALLY MARIE PRUNTY M.D.
NPI 1962899195
Pediatrics in Edina, MN

Active since April 27, 2015PECOS Enrolled
3955 PARKLAWN AVE STE 120, EDINA, MN 55435(952) 831-4454(952) 278-6947 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2020, Mar 29, 2018, Mar 20, 2018 (3 updates tracked since 2018).

About Cally Marie Prunty M.d. NPPES

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

CALLY MARIE PRUNTY M.D. (NPI 1962899195) is an individual pediatrics provider in Edina, Minnesota, licensed in Minnesota (63079) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962899195
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCALLY MARIE PRUNTYCredential: M.D.
Location Address3955 PARKLAWN AVE STE 120Edina, MN 55435-5660
Mailing Address3955 Parklawn Ave Ste 120Edina, MN 55435-5660 · (952) 831-4454 · Fax (952) 278-6947
Phone(952) 831-4454
Fax(952) 278-6947
Sole ProprietorYes
Enumeration DateApril 27, 2015
Last NPPES UpdateSeptember 17, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
✔ NPI 1962899195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 63079
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3955 PARKLAWN AVE STE 120, Edina, MN 55435
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cally Marie Prunty M.d. 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 55435 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 12

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

EMMA PABARCUS M.D.
Pediatrics
3955 PARKLAWN AVE STE 120
EDINA, MN 55435
Hennepin County (952) 278-7000
KELSEY NICOLE PARKS MD
Pediatrics
3955 PARKLAWN AVE STE 120
EDINA, MN 55435
Hennepin County (952) 278-7000
DR. DANIEL CARBALLO M.D.
Pediatrics
3955 PARKLAWN AVE STE 120
EDINA, MN 55435
Hennepin County (952) 278-6950
KATE FOLLESE D.O.
Pediatrics
3955 PARKLAWN AVE STE 120
EDINA, MN 55435
Hennepin County (952) 278-7000
MEGHAN ROSE MCELREATH LITKE MD
Pediatrics
3955 PARKLAWN AVE STE 120
EDINA, MN 55435
Hennepin County (952) 278-7000
SYDNEY LEE NOTERMANN MD
Pediatrics
3955 PARKLAWN AVE STE 120
EDINA, MN 55435
Hennepin County (952) 278-7000
DR. BRITTA SUNDQUIST M.D.
Allergy & Immunology (Allergy)
3955 PARKLAWN AVE STE 120
EDINA, MN 55435
Hennepin County (952) 831-4454
NATHAN MICHAEL LUSCRI MD
Pediatrics
3955 PARKLAWN AVE STE 120
EDINA, MN 55435
Hennepin County (952) 278-7000

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 Cally Prunty's NPI number?

The NPI number for Cally Prunty is 1962899195. It was assigned to this individual provider in the NPPES registry on April 27, 2015.

Where is Cally Prunty located?

Cally Prunty practices at 3955 Parklawn Ave Ste 120, Edina, MN 55435. The listed phone number is (952) 831-4454.

What is Cally Prunty's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Cally Prunty enrolled in Medicare?

Yes. Cally Prunty is registered in the Medicare PECOS enrollment system.

What insurance does Cally Prunty accept?

Health plans from Medica list Cally Prunty 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.

When was this NPI record last updated?

The NPPES record for Cally Prunty was last updated on September 17, 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.