Mary Mattison-Wynn, PSY D LP
NPI 1649202755 · Psychologist · Buffalo, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Mattison-Wynn, PSY D LP is a Psychologist provider in Buffalo, MN (NPI 1649202755).
Provider details
- NPI number
- 1649202755
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY D LP
- Sex
- Female
- Sole proprietor
- No
- License
- 4961 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
11 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychiatric Diagnostic Evaluation90791 | 11 | $167 |
Typical Medicare-allowed amounts for these services range $167–$167 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2024-09-30
- Certified
- 2024-09-30
Frequently asked questions
- What is Mary Mattison-Wynn's NPI number?
- Mary Mattison-Wynn's National Provider Identifier (NPI) is 1649202755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Mattison-Wynn's specialty?
- Mary Mattison-Wynn is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Mary Mattison-Wynn located?
- Mary Mattison-Wynn's practice location on file with NPPES is 30 1st Ave Ne # 12, Buffalo, MN 55313-1515.
- What is Mary Mattison-Wynn's phone number?
- The practice phone number listed in the NPPES registry for Mary Mattison-Wynn is (612) 670-8918.
- Does Mary Mattison-Wynn accept Medicare?
- Mary Mattison-Wynn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Mattison-Wynn's NPI active?
- Yes — Mary Mattison-Wynn's NPI (1649202755) is active in the NPPES registry as of the last update on 2024-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.