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

Mary Alivia Tolsma, PA

Individual provider Physician Assistant · NPI 1023425402

Mary Alivia Tolsma, PA is a Physician Assistant in Eagan, Minnesota. Qualified in 2014, 12 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1885 Plaza Dr
Eagan, MN 55122-2979
Phone: (952) 993-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1880 N Frontage Rd, Hastings, MN 55033 — (651) 438-1800
  • 451 Dunlap St N, Saint Paul, MN 55104-4619 — (651) 967-7201
  • 671 Vandalia Street, Saint Paul, MN 55114 — (651) 698-2406

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11616 (MN)

Record details

NPI number1023425402
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 17, 2014
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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