Active NPI
Mary Spengler, N.P.
- Adult Health Nurse Practitioner
- Robbinsdale, MN
National Provider Identifier
1861453763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R0905150
- Practice address
- 3366 Oakdale Avenue North
Suite 315
Robbinsdale, MN 55422 - Phone
- (763) 587-7900
- Fax
- (763) 587-7989
- NPI assigned
- Mar 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R0905150 | MN | Primary |
Addresses
Primary practice location
3366 Oakdale Avenue North
Suite 315
Robbinsdale, MN 55422
Mailing address
3366 Oakdale Avenue North
# 315 North Clinic PA
Robbinsdale, MN 55422
Phone (763) 587-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 773032200 | Medicaid | MN |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0905150 | MN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mngi Digestive Health, P.a. | Past | Accepting new patients | |
| North Clinic, PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Minneapolis, MN
- NPI 1609804541
-
dba Voyage Healthcare
- Multi-Specialty Clinic/Center
- Brooklyn Park, MN
- NPI 1407011760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231459200000",
"number": "1861453763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3366 OAKDALE AVENUE NORTH",
"address_2": "# 315 NORTH CLINIC PA",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "55422",
"telephone_number": "763-587-7900",
"fax_number": "763-587-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3366 OAKDALE AVENUE NORTH",
"address_2": "SUITE 315",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "55422",
"telephone_number": "763-587-7900",
"fax_number": "763-587-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENGLER",
"first_name": "MARY",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2009-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "R0905150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "773032200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.