MARY ANN SCHORN - RHODA (APRN CPNP, CNS) – Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1417010257
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MARY ANN SCHORN - RHODA (APRN CPNP, CNS)
1900, Silver Lake Road Northwest, New Brighton, Ramsey County, Minnesota, 55112, United States
SUITE 110
NEW BRIGHTON, MN 55112
Phone: (651) 379-1764
Fax: (651) 379-1738
Type: Mailing
Willmar State Hospital Cottage #1, 1701, Technology Drive Northeast, Willmar, Kandiyohi County, Minnesota, 56201, United States
WILLMAR, MN 56201
Phone: (320) 231-5421
Type: Location
1125 6TH ST SE
WILLMAR, MN 562014675
Phone: (320) 235-4613
Type: Location
3701 12th Street
Suite 203
St. Cloud, MN 56303
Phone: (320) 253-3512
Fax: (320) 253-1037
Type: Location
1701 Technology Dr NE
Willmar, MN 56201
Phone: (320) 231-5421
Type: Location
WOODLANDS CENTER
1125 6 TH SE
WILLMAR, MN 56201
Phone: (320) 235-4613
Fax: (651) 379-1738
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2009-06-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070309000158 | I | Nurse Practitioner | MN | TBD |
| I20090617000266 | I | Certified Clinical Nurse Specialist (Cns) | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55112)
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