MARY MALLORY MARTIN (CRNP) – Nurse Practitioner, NPI 1598286072
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for MARY MALLORY MARTIN (CRNP)
3400 HIGHWAY 78 E STE 412
JASPER, AL 355018952
Phone: (205) 384-3013
Fax: (205) 384-3078
Type: Location
E, Jasper County, Indiana, United States
SUITE 412
JASPER, AL 355014718
Phone: (205) 384-3013
Fax: (205) 384-3078
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $971.
Total Amount is formed as General ($971) + Research ($0) + Ownership ($0) = $971.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Axonics, Inc. ($515).
Total Amount
$971
General + Research + Ownership
Payments
34
Total payment records
General Amount
$971
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $515 |
| Teva Pharmaceuticals USA, Inc. | $142 |
| Astellas Pharma US Inc | $100 |
| AstraZeneca Pharmaceuticals LP | $89 |
| Radius Health, Inc. | $44 |
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: 2018-11-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181108000462 | 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 35501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | AL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | AL | |
| General Surgery | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| - | AL | |
| Nurse Practitioner | AL | |
| Cardiovascular Disease (Cardiology) | AL | |
| - | AL | |
| Qualified Audiologist | AL |
Reviews
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