MARY CATHERINE CISCO (DNP, MBA, MSN, FNP-C) – Family Nurse Practitioner, NPI 1215422068
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MARY CATHERINE CISCO (DNP, MBA, MSN, FNP-C)
110 S WOODLAND ST
WINTER GARDEN, FL 347873546
Phone: (407) 905-8827
Fax: (321) 221-9454
Type: Mailing
225 N 1ST ST
LEESBURG, FL 347485150
Phone: (407) 905-8827
Fax: (352) 360-2389
Type: Location
US 301, Sumterville, Sumter County, Florida, 33585, United States
SUMTERVILLE, FL 335855141
Phone: (352) 793-5900
Type: Mailing
950 BACKSTAGE LANE
ORLANDO, FL 32830
Phone: (407) 748-3750
Type: Location
2702 S Orange Ave
Orlando, FL 328065402
Phone: (407) 254-5074
Type: Location
525 Technology Park
Lake Mary, FL 327467107
Phone: (407) 647-2346
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $368.
Total Amount is formed as General ($368) + Research ($0) + Ownership ($0) = $368.
Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($131).
Total Amount
$368
General + Research + Ownership
Payments
3
Total payment records
General Amount
$368
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $131 |
| Grifols USA, LLC | $125 |
| Novo Nordisk Inc | $112 |
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: 2020-08-27
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 |
|---|---|---|---|---|
| I20200827001251 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 16 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 11 | 11 | $0 |
Insurance plans in this area (ZIP 34787)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Family Practice | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL |
Reviews
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