MRS. MARY THERESA WILD CREA M.D.
NPI 1982604096
Specialist in Inver Grove Heights, MN
NPI Status: Active since July 29, 2005
Contact Information
5975 CARMEN AVE
INVER GROVE HEIGHTS, MN
ZIP 55076
Phone: (651) 455-9697
Fax: (651) 455-2012
- Individual
- Female
- Specialist
- Accepts Insurance
- PECOS Enrolled
About MARY WILD CREA
This page provides the complete NPI Profile along with additional information for Mary Wild Crea, a provider established in Inver Grove Heights, Minnesota with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1982604096 assigned on July 2005. The practitioner's primary taxonomy code is 174400000X with license number 38767 (MN). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1982604096
- Provider Name
- MRS. MARY THERESA WILD CREA M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5975 CARMEN AVE INVER GROVE HEIGHTS, MN 55076
- Location Phone
- (651) 455-9697
- Location Fax
- (651) 455-2012
- Mailing Address
- 1286 RAYMOND AVE SAINT PAUL, MN 55108
- Mailing Phone
- (651) 455-9697
- Mailing Fax
- (651) 455-2012
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-29-2005
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 38767
- License State
- MN
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Mary Wild Crea is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for MRS. MARY THERESA WILD CREA M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 8 | 2 | 6 | 0 | 4 | 0 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 16 | 2 | 12 | 0 | 8 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 6 + 2 + 1 + 2 + 0 + 8 + 0 + 1 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1982604096 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154321578 | MRS. LAUREL RUTH ANDERSON M.D. Individual | Specialist | 5975 CARMEN AVE INVER GROVE HEIGHTS, MN 55076 (651) 455-9697 |
| 1922008044 | MR. ROSS STANLEY OLSON M.D. Individual | Specialist | 5975 CARMEN AVE INVER GROVE HEIGHTS, MN 55076 (651) 455-9697 |
| 1992772107 | RACHEL ELLEN RIDENOUR HERMAN MS RN CNP Individual | Nurse Practitioner (Pediatrics, Critical Care) | 5975 CARMEN AVE INVER GROVE HEIGHTS, MN 55076 (651) 455-9697 |
| 1841502317 | MRS. LINDSEY MICHELLE-PATEE DEEB PNP Individual | Nurse Practitioner (Pediatrics) | 5975 CARMEN AVE INVER GROVE HEIGHTS, MN 55076 (651) 455-9697 |
| 1760861496 | DAKOTA PEDIATRICS PROVIDERS PLLC Organization | Pediatrics | 5975 CARMEN AVE INVER GROVE HEIGHTS, MN 55076 (651) 455-9697 |
| 1285943027 | DAKOTA PEDIATRICS, P.A. Organization | Clinic/Center (Primary Care) | 5975 CARMEN AVE INVER GROVE HEIGHTS, MN 55076 (651) 455-9697 |
| 1700948536 | JANE E VANROEKEL Organization | Pediatrics | 5975 CARMEN AVE INVER GROVE HEIGHTS, MN 55076 (651) 455-9697 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982604096, enumerated in the NPI registry as an "individual" on July 29, 2005
The provider is located at 5975 Carmen Ave Inver Grove Heights, Mn 55076 and the phone number is (651) 455-9697
The provider's speciality is Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on July 29, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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