Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mary Nick, PA

Individual provider Physician Assistant · NPI 1821172057

Mary Nick, PA is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2003, 23 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2006
Specialties on file
2
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

420 Delaware St SE Mmc 480-UNIVERSITY Of Minnesota Physicians
Minneapolis, MN 55455 Not confirmed with CMS for 14 years — call before visiting
Phone: (612) 625-2654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9941 (MN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 9941 (MN)

Record details

NPI number1821172057
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESMay 8, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients69
Services billed 283 a service is one billed item, such as a visit, a test or a procedure
Average patient age60

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Fairview Express Care

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1964 clinicians in the practice; 12 are shown here.

Other providers in Minneapolis