MRS. MARY V. COLLIGNON (NP) – Family Nurse Practitioner, NPI 1194728477

MRS. MARY V. COLLIGNON (NP) is a healthcare provider. based in Shafter, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. NPF4036 (CA). The NPI Number for MRS. MARY V. COLLIGNON (NP) is 1194728477

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY V. COLLIGNON (NP)
NPI
1194728477
Phone
(661) 459-1900
Address
659 S CENTRAL VALLEY HWY
Enumeration Date
31 May 2005
Last Update Date
26 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6614591000
Graduation Year
1987 (39 years ago)
PAC ID
9032439120
Group Practice PAC ID
4587881685
Professional Enrollment ID
I20150513000050
Address ID
CA932801919WA845XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:21State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

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Provider Addresses for MRS. MARY V. COLLIGNON (NP)

  • Central Valley Highway, North Shafter, Shafter, Kern County, California, 93263, United States

    SHAFTER, CA 932632790

    Phone: (661) 459-1900

    Fax: (661) 459-1974

    Type: Mailing

  • James Street, Shafter, Kern County, California, 93263, United States

    SHAFTER, CA 932632033

    Phone: (661) 459-1814

    Fax: (661) 459-1821

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $1,740.

Total Amount is formed as General ($1,740) + Research ($0) + Ownership ($0) = $1,740.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Lilly USA, LLC ($440).

Total Amount

$1,740

General + Research + Ownership

Payments

79

Total payment records

General Amount

$1,740

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

View all Open Payments →|Open Payments Risk Radar →

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: 2015-05-13

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
I20150513000050INurse PractitionerCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes40590$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2828$0
G0008Administration of influenza virus vaccine2422$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1615$0
View full utilization report →

Insurance plans in this area (ZIP 93263)

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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: 4587881685View full group profile
NameSpecialtyState
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantTX
C H I R O P R A C T I CCA
Internal MedicineCA

Reviews

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Frequently asked questions

What federal number belongs to MRS. MARY V. COLLIGNON (NP)?
The federal identifier for MRS. MARY V. COLLIGNON (NP) is NPI 1194728477.
Is MRS. MARY V. COLLIGNON (NP) currently active in the NPI registry?
CMS-published data lists MRS. MARY V. COLLIGNON (NP) as an active registrant.
What kind of provider is MRS. MARY V. COLLIGNON (NP)?
The page reflects Family Nurse Practitioner for MRS. MARY V. COLLIGNON (NP). Clinical services aligned with this taxonomy classification.
Where does public data place MRS. MARY V. COLLIGNON (NP)?
The snapshot lists Shafter, California for MRS. MARY V. COLLIGNON (NP); download NPPES for the complete set.
How can I contact MRS. MARY V. COLLIGNON (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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