MARY T SPADES – Certified Registered Nurse Anesthetist, NPI 1952380677

MARY T SPADES is a healthcare provider. based in Edina, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. R 118777-3 (MN). The NPI Number for MARY T SPADES is 1952380677

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MARY T SPADES
NPI
1952380677
Phone
(952) 925-1793
Address
4501 GOLF TER
Enumeration Date
11 January 2006
Last Update Date
20 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529937800
Graduation Year
2002 (24 years ago)
PAC ID
5496755803
Group Practice PAC ID
2466986922
Professional Enrollment ID
I20070109000510
Address ID
MN553795582SH1700XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

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Provider Addresses for MARY T SPADES

  • 4501, Golf Terrace, Edina, Hennepin County, Minnesota, 55424, United States

    EDINA, MN 554241510

    Phone: (952) 925-1793

    Fax: (952) 993-0300

    Type: Mailing

  • Excelsior Boulevard, Minikahda Vista, Saint Louis Park, Hennepin County, Minnesota, 55416:55424, United States

    METHODIST HOSPITAL

    ST LOUIS PARK, MN 554264702

    Phone: (952) 993-5222

    Fax: (952) 993-6499

    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: 2007-01-09

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
I20070109000510ICertified Registered Nurse Anesthetist (Crna)MNTBD

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
00142Anesthesia for lens surgery5149$0
View full utilization report →

Insurance plans in this area (ZIP 55424)

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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: 2466986922View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

How do I look up MARY T SPADES by NPI?
Use NPI 1952380677 when you need to reference MARY T SPADES in forms, claims, or directories.
Is MARY T SPADES currently active in the NPI registry?
CMS-published data lists MARY T SPADES as an active registrant.
What does MARY T SPADES treat or focus on?
Patients typically see MARY T SPADES under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place MARY T SPADES?
The snapshot lists Edina, Minnesota for MARY T SPADES; download NPPES for the complete set.
Is MARY T SPADES a real provider?
This page reflects official NPPES data for NPI 1952380677. Always confirm identity and privileges with the practice and licensing boards.

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