MS. MARY PHILLIPS M.A., L.P.
NPI 1972677979
Psychologist - Clinical in Elk River, MN
About Ms. Mary Phillips M.a., L.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARY PHILLIPS M.A., L.P. (NPI 1972677979) is an individual clinical provider in Elk River, Minnesota, licensed in Minnesota (LP 4021) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Ms. Mary Phillips M.a., L.p. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Phillips reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Princeton, MN 55371
- Reassigned Medicare billing, Minnesota enrollment
- 4 clinicians in this Medicare group
Coral Gables, FL 33134
- Reassigned Medicare billing, Minnesota enrollment
- 10 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Phillips's NPI number?
The NPI number for Mary Phillips is 1972677979. It was assigned to this individual provider in the NPPES registry on November 20, 2006.
Where is Mary Phillips located?
Mary Phillips practices at 633 Main St NW Apt 220, Elk River, MN 55330. The listed phone number is (612) 422-0890.
What is Mary Phillips's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Mary Phillips enrolled in Medicare?
Yes. Mary Phillips 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 Phillips's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Phillips reassigns Medicare benefits to 2 organizations: Glasswing Counseling And Wellness, LLC (Princeton, MN) and Sailor Health Medical PA (Coral Gables, FL). 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 Phillips'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 Phillips was last updated on February 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ms. Mary Phillips, M.A., L.P. · NPI 1972677979
Clinical provider in Elk River, Minnesota. Individual provider, active in the CMS NPPES registry since November 20, 2006.
## Identity
- **NPI:** 1972677979 (Entity type: Individual)
- **Enumerated:** November 20, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** LP 4021 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 633 MAIN ST NW APT 220, Elk River, MN 55330-1792
- **Phone:** (612) 422-0890
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Glasswing Counseling And Wellness, LLC (NPI 1568033215, Princeton, MN); Sailor Health Medical PA (NPI 1841012960, Coral Gables, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** February 12, 2022
- **Other identifiers:** Other 877934100 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1972677979) · Data from the CMS NPPES public registry.