Individual provider Active NPI

Mary Patrice Schuurmans

  • Wound Care Registered Nurse
  • Prior Lake, MN
National Provider Identifier
1053248260
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
2459844 Issued in MN
Practice address
15353 Eagles RDG NW
Prior Lake, MN 55372-4518
Phone
(952) 693-6456
NPI assigned
May 4, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X 2459844 MN Primary

Addresses

Primary practice location

15353 Eagles RDG NW
Prior Lake, MN 55372-4518

Mailing address

15353 Eagles RDG NW
Prior Lake, MN 55372-4518
Phone (952) 693-6456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2459844MNMDWound Care Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1053248260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15353 EAGLES RDG NW",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553724518",
            "telephone_number": "952-693-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15353 EAGLES RDG NW",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553724518",
            "telephone_number": "952-693-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUURMANS",
        "first_name": "MARY",
        "middle_name": "PATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "MN",
            "license": "2459844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prior Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.