MARY J. CHIASSON (D.O.) – Neurology Physician, NPI 1235133265

MARY J. CHIASSON (D.O.) is a healthcare provider. based in Bloomington, Minnesota. specializing in Neurology Physician. They hold the professional credentials D.O.. They hold a License No. 40247 (MN). The NPI Number for MARY J. CHIASSON (D.O.) is 1235133265

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
MARY J. CHIASSON (D.O.)
NPI
1235133265
Phone
(612) 879-1000
Address
3601 MINNESOTA DR STE 200
Enumeration Date
8 June 2005
Last Update Date
26 August 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6128791000
Graduation Year
1991 (35 years ago)
PAC ID
4981598307
Group Practice PAC ID
3971497389
Professional Enrollment ID
I20100828000140
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MARY J. CHIASSON (D.O.)

  • 3601 MINNESOTA DR STE 200

    BLOOMINGTON, MN 554355202

    Phone: (612) 879-1000

    Fax: (612) 879-9116

    Type: Mailing

  • 2828, Chicago Avenue South, Midtown Phillips, Phillips, Minneapolis, Hennepin County, Minnesota, 55407, United States

    SUITE 200

    MINNEAPOLIS, MN 554071320

    Phone: (612) 879-1000

    Fax: (612) 879-9116

    Type: Mailing

  • Chicago Avenue South, Minneapolis, Hennepin County, Minnesota, 55415, United States

    SUITE 200

    MINNEAPOLIS, MN 554071320

    Phone: (612) 879-1000

    Fax: (612) 879-9116

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2010-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100828000140INeurologyMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0585Injection, onabotulinumtoxina, 1 unit6,21012$0
99214Established patient office or other outpatient visit, 30-39 minutes150120$0
99204New patient office or other outpatient visit, 45-59 minutes7676$0
99215Established patient office or other outpatient visit, 40-54 minutes6152$0
99205New patient office or other outpatient visit, 60-74 minutes5454$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971497389View full group profile
NameSpecialtyState
Nurse PractitionerMN
N E U R O L O G YMN
-MN
N E U R O L O G YMN
N E U R O L O G YMN
Neurology, Neuropsychiatry, Pain Management, Interventional Pain ManagementMN
N E U R O L O G YMN
Sleep Medicine, NeurologyMN
-MN
N E U R O L O G YMN

Reviews

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Frequently asked questions

What federal number belongs to MARY J. CHIASSON (D.O.)?
The federal identifier for MARY J. CHIASSON (D.O.) is NPI 1235133265.
Does this profile mean MARY J. CHIASSON (D.O.) is currently active?
Yes — MARY J. CHIASSON (D.O.) appears active in the national provider directory.
What field does MARY J. CHIASSON (D.O.) work in?
You can think of MARY J. CHIASSON (D.O.) as practicing within Neurology Physician. Clinical services aligned with this taxonomy classification.
Where is MARY J. CHIASSON (D.O.)'s primary listing?
We display Bloomington, Minnesota because that is what the record indicates for MARY J. CHIASSON (D.O.).
What if Bloomington, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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