Mrs Mary Susan Clipp, CPNP-AC - Medicare Nurse Practitioner in Minneapolis, MN

Mrs Mary Susan Clipp, CPNP-AC is a medicare enrolled "Nurse Practitioner - Pediatrics, Critical Care" in Minneapolis, Minnesota. Her current practice location is 2450 Riverside Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 365-3100.

Mrs Mary Susan Clipp is licensed to practice in Minnesota (license number 2036438) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003150194.

Contact Information

Mrs Mary Susan Clipp, CPNP-AC
2450 Riverside Ave,
Minneapolis, MN 55454-1450
(612) 365-3100
(612) 365-3110

Map and Direction




Provider's Profile

Full NameMrs Mary Susan Clipp
GenderFemale
SpecialityNurse Practitioner - Pediatrics, Critical Care
Location2450 Riverside Ave, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003150194
  • Provider Enumeration Date: 11/15/2012
  • Last Update Date: 11/15/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3577716877
  • Enrollment ID: I20211215001470

Medical Identifiers

Medical identifiers for Mrs Mary Susan Clipp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003150194NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0222XNurse Practitioner - Pediatrics, Critical Care 2036438 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Mary Susan Clipp allows following entities to bill medicare on her behalf.
Entity NameDell Childrens Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326072943
PECOS PAC ID: 8224092978
Enrollment ID: O20041112001030

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary Susan Clipp is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Mary Susan Clipp, CPNP-AC
3333 Harriet Ave,
Minneapolis, MN 55408-3729

Ph: (773) 512-4511
Mrs Mary Susan Clipp, CPNP-AC
2450 Riverside Ave,
Minneapolis, MN 55454-1450

Ph: (612) 365-3100

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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