MARY RIVERS (FNP-C) – Family Nurse Practitioner, NPI 1578319356

MARY RIVERS (FNP-C) is a healthcare provider. based in Moulton, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1-172359 (AL). The NPI Number for MARY RIVERS (FNP-C) is 1578319356

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MARY RIVERS (FNP-C)
NPI
1578319356
Phone
(256) 762-2921
Address
PO BOX 340
Enumeration Date
24 April 2024
Last Update Date
12 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2569746550
Graduation Year
2023 (3 years ago)
PAC ID
0648712737
Group Practice PAC ID
6406895382
Professional Enrollment ID
I20240604003079
Address ID
AL356501900MO10939CXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MARY RIVERS (FNP-C)

  • PO BOX 340

    MOULTON, AL 356500340

    Phone: (256) 762-2921

    Fax: (256) 974-8211

    Type: Mailing

  • 10939 AL HIGHWAY 157

    MOULTON, AL 356501914

    Phone: (256) 974-6550

    Type: Location

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: 2024-06-04

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
I20240604003079INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35650)

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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: 6406895382View full group profile
NameSpecialtyState
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerAL
Emergency Medicine, Internal MedicineFL
Family Practice, Internal MedicineAL
Nurse PractitionerAL
Emergency Medicine, General SurgeryAL
-AL
Emergency MedicineAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Can I verify MARY RIVERS (FNP-C) with an NPI only?
You can start verification with NPI 1578319356 for MARY RIVERS (FNP-C), then check state licensing separately.
Is MARY RIVERS (FNP-C) listed as active for patients and plans?
The listing shows MARY RIVERS (FNP-C) as active in the NPI system.
What is MARY RIVERS (FNP-C)'s specialty?
The listing groups MARY RIVERS (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MARY RIVERS (FNP-C) on a map?
Expect Moulton, Alabama as a primary anchor for MARY RIVERS (FNP-C) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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