Mary J Schwanke, PNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0659914 Issued in MN

Practice address

451 North Dunlap St - Mail Stop 32700a
Healthpartners Midway Clinic
St. Paul, MN 55104-4621

Phone

(651) 647-2200

Fax

(651) 647-2075

NPI assigned

Feb 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1962474015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MS21110Q",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "952-883-5375",
            "fax_number": "651-647-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 NORTH DUNLAP ST - MAIL STOP 32700A",
            "address_2": "HEALTHPARTNERS MIDWAY CLINIC",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551044621",
            "telephone_number": "651-647-2200",
            "fax_number": "651-647-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWANKE",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "0659914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371542600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Anne Schuster Stattmiller, MSW
• Christine Marie Schuster, PSYD
• Virginia Schuster, NP
• Kevin Thomas Schwalbach
• Amy Marie Schwanke, APNP
• Jane Victoria Schwark, MSW, LICSW
• Barbara Kathryn Schwartz, M.A., L..P.
• Brita Schwartz
• Coleen Schwartz
• Duncan Owen Schwartz, DPT

• Nurse Practitioner in St. Paul, MN
• Providers in St. Paul, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.