Mary T Spades

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0357 Issued in MN

Practice address

6500 Excelsior Blvd
Methodist Hospital
St Louis Park, MN 55426-4702

Phone

(952) 993-5222

Fax

(952) 993-6499

NPI assigned

Jan 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Francis Ambulatory Services LLCGroup PAC ID 2466986922, 24 clinicians

Park Nicollet Methodist HospitalGroup PAC ID 7315840063, 112 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Park Nicollet Methodist Hospital

  • Certified Registered Nurse Anesthetist
  • St Louis Park, MN
  • NPI 1083622047

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• St Francis Ambulatory Services LLC

  • Certified Registered Nurse Anesthetist
  • Shakopee, MN
  • NPI 1083442602

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Tria Orthopaedic Center LLC

  • Certified Registered Nurse Anesthetist
  • Minneapolis, MN
  • NPI 1053483503

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Twin Cities Anesthesia Associates PC

  • Anesthesiology Physician
  • Saint Paul, MN
  • NPI 1982125456

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Park Nicollet Methodist Hospital

  • Ambulatory Surgical Clinic/Center
  • Burnsville, MN
  • NPI 1649827973
  NPD
• Tria Orthopaedic Center LLC

  • Orthopaedic Surgery Physician
  • Bloomington, MN
  • NPI 1518273085
  NPD

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1952380677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 GOLF TER",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241510",
            "telephone_number": "952-925-1793",
            "fax_number": "952-993-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 EXCELSIOR BLVD",
            "address_2": "METHODIST HOSPITAL",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264702",
            "telephone_number": "952-993-5222",
            "fax_number": "952-993-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADES",
        "first_name": "MARY",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 118777-3",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "0357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan J Sorensen, RD, CDE
• Paige E Sorenson, MSW, LICSW
• Kelli A Sorge, PA
• Emmeline Darice Soto
• Ai Soundara, O.D.
• Sydney Spagna, MD
• Anna Spanbauer, DPT
• Emily Spangler
• Spark Medical Providers PA
• Brian K Sparkman, MD, MS

• Certified Registered Nurse Anesthetist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.