DR. MARY MCKENZIE NETTLOW (MD) – Physical Medicine & Rehabilitation Physician, NPI 1598862476

DR. MARY MCKENZIE NETTLOW (MD) is a healthcare provider. based in Anchorage, Alaska. specializing in Physical Medicine & Rehabilitation Physician. They hold the professional credentials MD. They hold a License No. 6706 (AK). The NPI Number for DR. MARY MCKENZIE NETTLOW (MD) is 1598862476

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY MCKENZIE NETTLOW (MD)
NPI
1598862476
Phone
(907) 375-3355
Address
4300 B ST
Enumeration Date
20 September 2006
Last Update Date
2 December 2016

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
9073753355
Graduation Year
2006 (20 years ago)
PAC ID
3375710163
Group Practice PAC ID
6507755964
Professional Enrollment ID
I20120119000177
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARY MCKENZIE NETTLOW (MD)

  • 4300, B Street, Anchorage, Alaska, 99503, United States

    SUITE 200

    ANCHORAGE, AK 995035925

    Phone: (907) 375-3355

    Fax: (907) 375-3351

    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: 2021-02-22

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
I20210222002188IPhysical Medicine And RehabilitationOKTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes787141$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes117113$0
99239Hospital discharge day management, more than 30 minutes100100$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8474$0
View full utilization report →

Insurance plans in this area (ZIP 99503)

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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: 6507755964View full group profile
NameSpecialtyState
Critical Care (Intensivists), Pulmonary DiseaseAK
Family PracticeAK
Internal MedicineOK
Hospitalist, Internal MedicineAK
Hospitalist, Family PracticeAK
-AK
H O S P I T A L I S TNV
Hospitalist, Internal MedicineAL
Critical Care (Intensivists), Internal MedicineAK
-TN

Reviews

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Frequently asked questions

How do I look up DR. MARY MCKENZIE NETTLOW (MD) by NPI?
Use NPI 1598862476 when you need to reference DR. MARY MCKENZIE NETTLOW (MD) in forms, claims, or directories.
Does this profile mean DR. MARY MCKENZIE NETTLOW (MD) is currently active?
Yes — DR. MARY MCKENZIE NETTLOW (MD) appears active in the national provider directory.
Does DR. MARY MCKENZIE NETTLOW (MD) list a primary specialty?
If you are matching referrals, note Physical Medicine & Rehabilitation Physician for DR. MARY MCKENZIE NETTLOW (MD). Clinical services aligned with this taxonomy classification.
Where is DR. MARY MCKENZIE NETTLOW (MD)'s primary listing?
We display Anchorage, Alaska because that is what the record indicates for DR. MARY MCKENZIE NETTLOW (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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