MARLO INEZ DWORSKY (APRN, CNP) – Primary Care Nurse Practitioner, NPI 1558805903
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for MARLO INEZ DWORSKY (APRN, CNP)
4533 COLFAX AVE S
MINNEAPOLIS, MN 554194736
Phone:
Type: Mailing
3400 W 66TH ST STE 290
EDINA, MN 554352133
Phone: (952) 836-3637
Type: Location
300 W Conan St
Ely, MN 557311145
Phone: (218) 365-7975
Type: Location
7677 WOODVIEW CT
EDINA, MN 554391768
Phone:
Type: Mailing
1700 UNIVERSITY AVE W
SAINT PAUL, MN 551043727
Phone: (651) 232-2002
Fax: (651) 326-9635
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: 2017-04-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170419002827 | I | Nurse Practitioner | MN | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 430 | 112 | $0 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 32 | 26 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 29 | 28 | $0 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 16 | 15 | $0 |
Insurance plans in this area (ZIP 55419)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Family Practice | MN | |
| Family Practice, Emergency Medicine | MN | |
| - | MN | |
| General Surgery | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN |
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