MARY KAY EARLIE (FNP) – Nurse Practitioner, NPI 1699346650

MARY KAY EARLIE (FNP) is a healthcare provider. based in Whiting, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 71011119A (IN). The NPI Number for MARY KAY EARLIE (FNP) is 1699346650

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MARY KAY EARLIE (FNP)
NPI
1699346650
Phone
(219) 659-2770
Address
1000 114TH ST
Enumeration Date
9 July 2021
Last Update Date
9 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2196822370
Graduation Year
2020 (6 years ago)
PAC ID
7618367459
Group Practice PAC ID
3274968243
Professional Enrollment ID
I20211209000974
Address ID
IN463212901MU901XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,241 NURSE PRACTITIONER in IN

Provider Addresses for MARY KAY EARLIE (FNP)

  • 1000 114TH ST

    WHITING, IN 463941048

    Phone: (219) 659-2770

    Mailing address matches the actual address.

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: 2021-12-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211209000974INurse PractitionerINTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,262433$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes690267$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes543262$0
99315Nursing facility discharge day management, 30 minutes or less3434$0
View full utilization report →

Insurance plans in this area (ZIP 46394)

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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: 3274968243View full group profile

Reviews

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Frequently asked questions

What identifier follows MARY KAY EARLIE (FNP) across health systems?
The NPI 1699346650 uniquely identifies MARY KAY EARLIE (FNP) in U.S. healthcare data.
Does the public listing show MARY KAY EARLIE (FNP) as active?
MARY KAY EARLIE (FNP)'s NPI record reflects an active status in NPPES.
Which specialty label fits MARY KAY EARLIE (FNP)?
NPPES ties MARY KAY EARLIE (FNP) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MARY KAY EARLIE (FNP)?
The directory associates MARY KAY EARLIE (FNP) with Whiting, Indiana. Check all listed addresses for suites or satellite offices.
Can I export MARY KAY EARLIE (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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