Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821172057 Individual Practitioner Female Practitioner

Mary Nick , PA

Physician Assistant • Minneapolis, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Nick, PA is a certified Physician Assistant practicing in Minneapolis, MN. With approximately 23 years of clinical experience since completing medical education in 2003, Mary Nick delivers high-quality medical care to the local community at 420 DELAWARE ST SE.

Mary Nick is affiliated with Fairview Express Care and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

420 Delaware St Se
Mmc 480-University Of Minnesota Physicians

Minneapolis, MN 55455

Telephone 6126252654
Associated Practice Facility / Clinic
🏢 University Of Minnesota Facility NPI 1730371857

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Minneapolis, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +12.7 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
502 Specialists

Practicing in Minneapolis, MN (4026 Statewide)

Telehealth Adoption Rate
21.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nick (23 Years) 23 Yrs
Minneapolis Specialty Average (10.3 Years) 10.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
188 60 $294.44 $63.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
50 23 $408.48 $94.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
26 24 $710.00 $139.00

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 9941

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License MN 9941

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
41999800 (WI)
Medicaid State Provider ID
856458100 (MN)
Medicaid State Provider ID
4304742 (MT)
Commercial Insurance / Payer ID Preferred One
1043048 (MN)
Commercial Insurance / Payer ID Ucare
13265 (MN)
Commercial Insurance / Payer ID Medica-Choice
01-19052 (MN)
Commercial Insurance / Payer ID Araz
2319537 (MN)
Commercial Insurance / Payer ID Healthpartners
HP49622 (MN)
Commercial Insurance / Payer ID Medica-Primary
01-06279 (MN)

Hospital & Practice Group Affiliations

Fairview Express Care

717 Delaware St Se, Minneapolis, MN 554142959

Phone: 6126727422

Fairview Express Care

500 Harvard St Se, Minneapolis, MN 554550363

Phone: 6126727422

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Angela Kramer , PA-C

Physician Assistant

NPI 1255310918

Physician Assistant (Certified)

Claire Carrier , PA

Physician Assistant

NPI 1639383888

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 08, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2012

Registered at 420 DELAWARE ST SE, MMC 480-UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455 (Tel: 6126252654)

📍
Updated Business Mailing Address May 08, 2012

Registered at 420 DELAWARE ST SE, MMC 480-UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455 (Tel: 6126252654)

👤
Provider Name / Credentials Updated May 08, 2012

Recorded as MARY NICK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2012

Physician Assistant (License #9941 in MN)

🟢
Initial NPI Registration & Enumeration October 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821172057
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2006
Last Update: May 08, 2012
Sole Proprietor: No

Mailing Address

420 Delaware St Se, Mmc 480-University Of Minnesota Physicians

Minneapolis, MN 55455

Phone: 6126252654

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.