Active NPI
Mary Manelli, APRN, CNP
- Gerontology Nurse Practitioner
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 5707
- Practice address
- 2945 Hazelwood St Ste 200
Maplewood, MN 55109-1243 - Phone
- (612) 625-8690
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP5707 | MN | |
| Gerontology Nurse Practitioner | 363LG0600X | 5707 | MN | Primary |
Addresses
Primary practice location
2945 Hazelwood St Ste 200
Maplewood, MN 55109-1243
Mailing address
1700 University Ave W FL 6
Saint Paul, MN 55104-3727
Other practice location 1
270 Main St N Ste 300
Stillwater, MN 55082-6788
Phone (651) 472-8191
Other practice location 2
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000
Other practice location 3
2845 Hamline Ave N
Roseville, MN 55113-7127
Phone (651) 631-6410
Other names 1
- Mary Barton
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mreff62442@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2945 Hazelwood St
Suite 200
Maplewood, MN 55109-1243
Phone (651) 326-9462
440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225
Hospital & facility affiliations
- Abbott Northwestern Hospital
- M Health Fairview St John'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP5707 | MN | MD | Nurse Practitioner |
| 5707 | MN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Healtheast Medical Research Insititue | Current | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
2945 Hazelwood St
Ste 200
Saint Paul, MN 55109
Phone (612) 440-6315
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
Interoperability endpoints
- mreff62442@excellian.direct.allina.com
- mmanelli2755181@fairview.direct-ci.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Eyewear Supplier
- Andover, MN
- NPI 1861674665
-
- Clinic/Center
- Woodbury, MN
- NPI 1598356560
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
Hospital & facility affiliations 24
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1295237154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 UNIVERSITY AVE W FL 6",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 HAZELWOOD ST STE 200",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091243",
"telephone_number": "612-625-8690"
}
],
"practiceLocations": [
{
"address_1": "270 Main St N Ste 300",
"address_purpose": "LOCATION",
"city": "Stillwater",
"state": "MN",
"postal_code": "550826788",
"country_code": "US",
"telephone_number": "651-472-8191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2925 Chicago Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554071321",
"country_code": "US",
"telephone_number": "612-262-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2845 Hamline Ave N",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "MN",
"postal_code": "551137127",
"country_code": "US",
"telephone_number": "651-631-6410",
"fax_number": "651-631-6343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANELLI",
"first_name": "MARY",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-06",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "CNP5707",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "5707",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mreff62442@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "2925 Chicago Ave",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554071321",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARY",
"last_name": "BARTON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.