Mary Beth Trombley, CNP
Individual provider Active NPI Family Nurse Practitioner · Robbinsdale, MN
NPI 1457534679 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1457534679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R140710-7 (MN)
- Practice address
- 3300 Oakdale Ave N
Robbinsdale, MN 55422-2926 - Phone
- (763) 581-3000
- Fax
- (763) 581-3005
- NPI assigned
- Dec 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cuyuna Regional Medical Center
County of Meeker
Practice addresses (Care Compare)
320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000
612 S Sibley Ave
Litchfield, MN 55355-3340
Phone (320) 693-3233
Hospital & facility affiliations
- Meeker Memorial Hospital
- Cuyuna Regional Medical Center
- Meeker Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.1 of 100
- Quality
- 91.46
- Promoting interoperability
- 86
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080227000711 | MN | Practitioner - Nurse Practitioner | 4880778943 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R140710-7 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Current |
Accepting new patients | |
| Cuyuna Regional Medical Center | Current |
Accepting new patients | |
| Cuyuna Regional Medical Center | Current | Accepting new patients | |
| County of Meeker | Current | Accepting new patients | |
| County of Meeker | Current |
Accepting new patients | |
| County of Meeker | Current |
Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Cuyuna Regional Medical Center | Current |
Accepting new patients | |
| County of Meeker | Past | Accepting new patients |
Locations
320 E Main St
Crosby, MN 56441
Phone (218) 546-7000
612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
4000 Central Ave NE
Saint Anthony, MN 55421
Phone (763) 572-5700
Interoperability endpoints
- mtrombley631308@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R140710-7 | MN | Yes |
Addresses
Primary practice location
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Mailing address
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R 140710-7 | Other | MN | MN LICENSE |
Other providers in Robbinsdale, MN
- Total Renal Care Inc
- Grace Abena Birago Totoe
- Town Center Chiropractic, P.C.
- Paul Andrew Travnicek
- Anna Harmony Lee Trimble
- Shelly D Truwe
- Todd Truwe
- Cydne Tullis
- Michael J Tully
- Jake Turnbloom
All providers in Robbinsdale, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.