MARY KILCOYNE (FNP-C) – Family Nurse Practitioner, NPI 1356130553

MARY KILCOYNE (FNP-C) is a healthcare provider. based in Waycross, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. GAA-NP003513 (GA). The NPI Number for MARY KILCOYNE (FNP-C) is 1356130553

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MARY KILCOYNE (FNP-C)
NPI
1356130553
Phone
(912) 287-9140
Address
218 QUARTERMAN ST
Enumeration Date
5 May 2025
Last Update Date
5 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9122870301
Graduation Year
2025 (1 year ago)
PAC ID
7315456480
Group Practice PAC ID
3173432226
Professional Enrollment ID
I20250530002685
Address ID
GA315013547WA218XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MARY KILCOYNE (FNP-C)

  • 218 QUARTERMAN ST

    WAYCROSS, GA 315013547

    Phone: (912) 287-9140

    Type: Location

  • 1155 5TH ST SE

    CAIRO, GA 398283142

    Phone:

    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: 2025-05-30

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
I20250530002685INurse PractitionerGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31501)

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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: 3173432226View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Family Practice, Nurse PractitionerGA
Family Practice, Dermatology, Physical Medicine And RehabilitationGA
Family PracticeGA
-GA
Physician AssistantGA

Reviews

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Frequently asked questions

How do I look up MARY KILCOYNE (FNP-C) by NPI?
Use NPI 1356130553 when you need to reference MARY KILCOYNE (FNP-C) in forms, claims, or directories.
Is MARY KILCOYNE (FNP-C) currently active in the NPI registry?
CMS-published data lists MARY KILCOYNE (FNP-C) as an active registrant.
Does MARY KILCOYNE (FNP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MARY KILCOYNE (FNP-C). Clinical services aligned with this taxonomy classification.
What location shows for MARY KILCOYNE (FNP-C)?
We surface Waycross, Georgia for MARY KILCOYNE (FNP-C) based on available NPPES addresses.
Is MARY KILCOYNE (FNP-C) a real provider?
This page reflects official NPPES data for NPI 1356130553. Always confirm identity and privileges with the practice and licensing boards.

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