DR. MARY D MACKENBURG MOHN (NP) – Gerontology Nurse Practitioner, NPI 1073690012
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for DR. MARY D MACKENBURG MOHN (NP)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
Phone: (126) 726-0006
Type: Location
2910, Centre Pointe Drive, Roseville, Ramsey County, Minnesota, 55113, United States
35121A CHILDRENS HEALTH CARE
ROSEVILLE, MN 55113
Phone: (651) 855-2327
Fax: (651) 855-2310
Type: Mailing
345, North Smith Avenue, West Seventh - Fort Road, Saint Paul, Ramsey County, Minnesota, 55102, United States
CHILDRENS HOSPITALS AND CLINICS EMERGENCY PHYSICIANS
ST PAUL, MN 55102
Phone: (651) 220-6914
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-06-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130109000777 | I | Nurse Practitioner | MN | TBD |
| I20190304001484 | I | Nurse Practitioner | ND | TBD |
| I20191118001061 | I | Nurse Practitioner | TX | TBD |
| I20230616001220 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 25 | 25 | $0 |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 20 | 20 | $0 |
| 85014 | Red blood cell concentration measurement | 18 | 17 | $0 |
| 80047 | Blood test, basic group of blood chemicals (calcium, ionized) | 18 | 17 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 16 | 13 | $0 |
Insurance plans in this area (ZIP 55454)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist | MN | |
| Internal Medicine, Hospitalist, Internal Medicine | NY | |
| Physician Assistant | NV | |
| Internal Medicine, Neuropsychiatry, Hospitalist | IN | |
| Hospitalist, Internal Medicine, Internal Medicine | MI | |
| - | ND | |
| Hospitalist, Internal Medicine, Hospitalist, Internal Medicine | VT | |
| Nurse Practitioner | ND | |
| General Surgery | ND | |
| Nurse Practitioner | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.