MRS. MARY KATHRYN REEP ZICARELLI – Family Nurse Practitioner, NPI 1356674741
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. MARY KATHRYN REEP ZICARELLI
PO BOX 349
34011 HWY 280 EAST
CHILDERSBURG, AL 350440349
Phone: (256) 378-3313
Fax: (256) 378-3315
Type: Mailing
280, Childersburg Fayetteville Highway, Childersburg, Talladega County, Alabama, 35044, United States
CHILDERSBURG, AL 350442128
Phone: (256) 378-3313
Fax: (256) 378-3315
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $177.
Total Amount is formed as General ($177) + Research ($0) + Ownership ($0) = $177.
Last reported payment date: 2024-07-15 • Largest payer in this snapshot: Lilly USA, LLC ($120).
Total Amount
$177
General + Research + Ownership
Payments
4
Total payment records
General Amount
$177
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $120 |
| Melinta Therapeutics, LLC | $21 |
| Merck Sharp & Dohme LLC | $19 |
| Celltrion USA Inc. | $17 |
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: 2011-01-10
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110110000795 | I | Nurse Practitioner | AL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35044)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AL | |
| Family Practice | AL | |
| Internal Medicine | AL | |
| Family Practice | AL |
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