Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mary D Mackenburg Mohn, NP

Individual provider Nurse Practitioner · NPI 1073690012

Dr. Mary D Mackenburg Mohn, NP is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 1994, 32 years ago. Practices with Hazen Memorial Hospital Association, a 20-clinician group and accepts Medicare assignment. Licensed in Colorado and Minnesota.

Years since qualifying
32
Licensed in
CO, MN
In the registry since
2006
Specialties on file
6
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (126) 726-0006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 2472 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence R0933245 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 0991736 (CO)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 0991736 (CO)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence R0933245 (MN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence R0933245 (MN)

Record details

NPI number1073690012
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Hazen Memorial Hospital Association — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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