Individual provider Active NPI

Mary Catherine Ulmaniec Bianco

  • Family Medicine Physician
  • Ely, MN
National Provider Identifier
1447325709
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36469 Issued in MN
Practice address
300 W Conan St
Ely, MN 55731-1145
Phone
(218) 365-7900
NPI assigned
Nov 22, 2006
Last updated
May 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36469 MN Primary

Addresses

Primary practice location

300 W Conan St
Ely, MN 55731-1145

Mailing address

300 W Conan St
Ely, MN 55731-1145
Phone (218) 365-7900

Other identifiers 1

IdentifierTypeStateIssuer
529323500MedicaidMN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408000942 MN Practitioner - Family Practice 2264426774 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essentia Health Virginia LLCGroup PAC ID 7810149002, 64 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

300 W Conan St
Ely, MN 55731-1145
Phone (218) 365-7900

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36469MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Essentia Health Virginia, LLC CurrentSince Dec 1, 2016 Accepting new patients
The Duluth Clinic, LTD CurrentSince Nov 8, 2019 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Nov 8, 2019 Accepting new patients
Northern Pines Medical Center CurrentSince Mar 18, 2011 Accepting new patients
Essentia Health Virginia, LLC CurrentSince Dec 1, 2016 Accepting new patients
Northern Pines Medical Center CurrentSince Jan 1, 2026 Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
Northern Pines Medical Center CurrentSince Mar 18, 2011 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients

Locations

405 W 3rd Ave N
Aurora, MN 55705
Phone (218) 229-3311

5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010

71 South Dr
Babbitt, MN 55706
Phone (218) 362-6683

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

4212 Grand Ave
Duluth, MN 55807
Phone (218) 786-3500

300 W Conan St
Ely, MN 55731
Phone (218) 365-7900

328 W Conan St
Ely, MN 55731
Phone (218) 365-3271

4855 W Arrowhead Rd
Hermantown, MN 55811
Phone (218) 786-3540

730 E 34th St
Hibbing, MN 55746
Phone (218) 262-3425

603 9th St N
Virginia, MN 55792
Phone (218) 741-3013

901 9th St N
Virginia, MN 55792
Phone (218) 741-3340

3500 Tower Ave
Ste 1
Superior, WI 54880
Phone (715) 395-5457

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1447325709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CONAN ST",
            "city": "ELY",
            "state": "MN",
            "postal_code": "557311145",
            "telephone_number": "218-365-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CONAN ST",
            "city": "ELY",
            "state": "MN",
            "postal_code": "557311145",
            "telephone_number": "218-365-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULMANIEC BIANCO",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "36469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529323500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ely, MN

Sources for this page

Verify at the official NPI Registry.