MARY NELSON – Family Nurse Practitioner, NPI 1124591730

MARY NELSON is a healthcare provider. based in Mobile, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-095170 (AL). The NPI Number for MARY NELSON is 1124591730

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MARY NELSON
NPI
1124591730
Phone
(251) 435-7426
Address
5 MOBILE INFIRMARY CIR
Enumeration Date
7 January 2019
Last Update Date
7 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2514351367
Graduation Year
2018 (8 years ago)
PAC ID
8123356623
Group Practice PAC ID
6709146285
Professional Enrollment ID
I20190821004455
Address ID
AL366041402MO1725XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for MARY NELSON

  • Mobile Infirmary, 5, Mobile Infirmary Circle, Lyons Park, Mobile, Mobile County, Alabama, 36607, United States

    MOBILE, AL 366073513

    Phone: (251) 435-7426

    Fax: (251) 435-7466

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190821004455INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99497Advance care planning, first 30 minutes142120$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes133100$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10171$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8782$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7270$0
View full utilization report →

Insurance plans in this area (ZIP 36607)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709146285View full group profile
NameSpecialtyState
Nurse PractitionerAL
-AL
Internal Medicine, RheumatologyAL
Family PracticeAL
-AL
Nurse PractitionerAL
Internal MedicineAL
Nurse PractitionerAL
Internal MedicineAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What is the standard ID for MARY NELSON in the U.S.?
In the U.S., MARY NELSON is identified by NPI 1124591730.
Should I treat MARY NELSON as an active provider?
Patients and plans typically see MARY NELSON as active in the national extract.
What services align with MARY NELSON's listing?
MARY NELSON's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARY NELSON?
MARY NELSON is associated with Mobile, Alabama in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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