Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821182296 Individual Practitioner Female Practitioner

Mary B Koolmo , APRN, CNP

Nurse Practitioner - Pediatrics • Saint Paul, MN

Professional Overview & Biography Verified Profile Summary

Mary Koolmo, APRN, CNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Saint Paul, MN. Practice services are available at 347 SMITH AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

347 Smith Ave N
Ms 70-302

Saint Paul, MN 551022387

Telephone 6512206728
Fax 6512205231
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Saint Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.1 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
76 Specialists

Practicing in Saint Paul, MN (480 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MN R119628-5

Definition to come...

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NM R44402

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000Z8736 (NM)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Heather May , NP

Nurse Practitioner - Pediatrics

NPI 1033554316

Nurse Practitioner

Jane Allen , CPNP

Nurse Practitioner - Pediatrics

NPI 1043286743

Certified Pediatric Nurse Practitioner

Melissa Hammerschmidt , PA-C

Physician Assistant

NPI 1730720442

Physician Assistant (Certified)

Sheridan Byrne , PA

Physician Assistant

NPI 1740813294

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2014

Registered at 347 SMITH AVE N, MS 70-302, SAINT PAUL, MN 551022387 (Tel: 6512206728)

📍
Updated Business Mailing Address September 23, 2014

Registered at 347 N. SMITH AVE., MS 70-302, ST. PAUL, MN 55102 (Tel: 6512206728)

👤
Provider Name / Credentials Updated September 23, 2014

Recorded as MARY KOOLMO, APRN, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2014

Pediatrics (License #R44402 in NM)

🟢
Initial NPI Registration & Enumeration October 03, 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: 1821182296
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: September 23, 2014
Sole Proprietor: No

Mailing Address

347 N. Smith Ave., Ms 70-302

St. Paul, MN 55102

Phone: 6512206728

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.