MARY NICK PA NPI 1821172057

NPI Information

  • NPI: 1821172057
  • Provider Name: MARY NICK, PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 420 DELAWARE ST SE
    MMC 480-UNIVERSITY OF MINNESOTA PHYSICIANS
    MINNEAPOLIS, MN
    ZIP 55455
  • Phone: (612) 625-2654

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NPI Details

Mary Nick, PA is a physician assistant in Minneapolis, MN with 23 years of experience. The provider is 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. Mary Nick, PA NPI is 1821172057. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

420 DELAWARE ST SE
MMC 480-UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 625-2654

The NPI 1821172057 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)

The enumeration date for this NPI number is 10/24/2006 and was last updated on 5/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical9941MINNESOTANo
2363A00000XPhysician Assistant9941MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12319537OTHERMINNESOTAARAZ
2Q33650MEDICARE UPIN
3HP49622OTHERMINNESOTAHEALTHPARTNERS
401-06279OTHERMINNESOTAMEDICA-PRIMARY
501-19052OTHERMINNESOTAMEDICA-CHOICE
6970002107MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
71043048OTHERMINNESOTAPREFERRED ONE
813265OTHERMINNESOTAUCARE
9856458100MEDICAIDMINNESOTA
104304742MEDICAIDMONTANA
1141999800MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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