MARY J. STATES (N.P.) – Acute Care Nurse Practitioner, NPI 1699748657
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,353 NURSE PRACTITIONER in CA
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Provider Addresses for MARY J. STATES (N.P.)
10790, Rancho Bernardo Road, San Diego County, California, 92127, United States
SAN DIEGO, CA 921275705
Phone: (858) 554-7464
Type: Mailing
North Torrey Pines Road, La Jolla Farms, Torrey Pines, San Diego, San Diego County, California, 92093, United States
LA JOLLA, CA 920371027
Phone: (858) 554-7462
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $986.
Total Amount is formed as General ($986) + Research ($0) + Ownership ($0) = $986.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Amgen Inc. ($170).
Total Amount
$986
General + Research + Ownership
Payments
38
Total payment records
General Amount
$986
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $170 |
| Novo Nordisk Inc | $169 |
| Abbott Laboratories | $145 |
| Lilly USA, LLC | $123 |
| Novartis Pharmaceuticals Corporation | $97 |
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: 2004-02-11
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 |
|---|---|---|---|---|
| I20040211001241 | 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 |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 30 | 29 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 26 | 26 | $0 |
| G0009 | Administration of pneumococcal vaccine | 13 | 13 | $0 |
Insurance plans in this area (ZIP 92127)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| Internal Medicine | CA | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| - | CA |
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