MARY ALLISON REDDEN (FNP-C) – Family Nurse Practitioner, NPI 1508381302
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
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Provider Addresses for MARY ALLISON REDDEN (FNP-C)
3090 BRISTOL ST STE 200
COSTA MESA, CA 926263061
Phone: (888) 789-9585
Fax: (562) 803-4500
Type: Mailing
1730, Alpine Boulevard, San Diego County, California, 91901, United States
ALPINE, CA 919013876
Phone: (619) 326-4445
Type: Mailing
1832 ALPINE BLVD
ALPINE, CA 919012107
Phone: (619) 326-4445
Type: Mailing
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: 2017-11-13
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 |
|---|---|---|---|---|
| I20171113003027 | I | Nurse Practitioner | CA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q4184 | Cellesta or cellesta duo, per square centimeter | 1,272 | 20 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 1,129 | 294 | $0 |
| Q4263 | Surgraft tl, per square centimeter | 1,112 | 11 | $0 |
| Q4267 | Neostim dl, per square centimeter | 596 | 12 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 573 | 178 | $0 |
Insurance plans in this area (ZIP 92626)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | IN | |
| Family Practice | CA |
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