Individual provider Active NPI

Mara C Bennett-Deiss, CFNP

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1871333948
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0138278 Issued in VT
Practice address
324 E 35TH St
Minneapolis, MN 55408-4580
Phone
(612) 821-7181
NPI assigned
May 28, 2024
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12789 MN
Family Nurse Practitioner 363LF0000X 101.0138278 VT Primary
Family Nurse Practitioner 363LF0000X CNP241280 ME

Addresses

Primary practice location

324 E 35TH St
Minneapolis, MN 55408-4580

Mailing address

82 E View LN
Barre, VT 05641-5332
Phone (802) 224-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250911000737 MN Practitioner - Nurse Practitioner 7214473131
I20260317004331 VT Practitioner - Nurse Practitioner 7214473131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gifford Health Care IncGroup PAC ID 2668624982, 37 clinicians

Practice addresses (Care Compare)

1823 VT Rte
Bethel, VT 05032-9107
Phone (802) 234-9913

44 S Main St
Randolph, VT 05060-1381
Phone (802) 728-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101.0138278VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gifford Health Care, Inc CurrentSince Feb 7, 2026 Accepting new patients
Southside Community Health Services, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Southside Community Health Services, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Gifford Health Care, Inc CurrentSince Feb 7, 2026 Accepting new patients
Gifford Health Care, Inc Past Accepting new patients

Locations

324 E 35th St
Minneapolis, MN 55408
Phone (612) 827-7181

4243 4th Ave S
Minneapolis, MN 55409
Phone (612) 821-2003

82 E View Ln
Barre, VT 05641
Phone (802) 223-4200

Organizations & group practices 5

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": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1871333948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 E VIEW LN",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056415332",
            "telephone_number": "802-224-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E 35TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084580",
            "telephone_number": "612-821-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT-DEISS",
        "first_name": "MARA",
        "middle_name": "C",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "12789",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0138278",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP241280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.