Mary Pesch, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9869 Issued in MN

Practice address

100 2ND St S
Sartell, MN 56377-1977

Phone

(320) 251-2600

Fax

(320) 252-1199

NPI assigned

Feb 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Stumpf Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Minnesota Medical School, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integracare LTDGroup PAC ID 6800780818, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpesch678088@direct.centracare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integracare LTD

  dba Williams Integracare Clinic

  • Family Medicine Physician
  • Sartell, MN
  • NPI 1770646937
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1346948981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563770296",
            "telephone_number": "320-251-2600",
            "fax_number": "320-252-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 2ND ST S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771977",
            "telephone_number": "320-251-2600",
            "fax_number": "320-252-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCH",
        "first_name": "MARY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "9869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "STUMPF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryan Gary Perkins, M.D.
• Torilyn Mae Person
• Persona Dental P.C.
• Isaiah Daniel Pesch
• Jack David Pesch
• Cassie Nicole Peschl
• Bailey Marie Peterson
• Chelsey Peterson
• Kayla Jo Peterson
• Madison Shay Peterson

• Family Nurse Practitioner in Sartell, MN
• Providers in Sartell, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.

Verify at the official NPI Registry.