MARY ELIZABETH PARIS – Nurse Practitioner, NPI 1790564409

MARY ELIZABETH PARIS is a healthcare provider. based in Crown point, Indiana. specializing in NURSE PRACTITIONER. They hold a License No. 71014383A (IN). The NPI Number for MARY ELIZABETH PARIS is 1790564409

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELIZABETH PARIS
NPI
1790564409
Phone
(219) 312-1884
Address
1405 CROOKED CREEK TRL
Enumeration Date
22 September 2023
Last Update Date
25 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2197964060
Graduation Year
2023 (3 years ago)
PAC ID
6901325976
Group Practice PAC ID
1254331184
Professional Enrollment ID
I20250522001152
Address ID
IN463077486CR9301XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for MARY ELIZABETH PARIS

  • 1405 CROOKED CREEK TRL

    CROWN POINT, IN 463075338

    Phone: (219) 312-1884

    Type: Mailing

  • 957 E COMMERCIAL AVE

    LOWELL, IN 463562307

    Phone: (219) 690-3779

    Fax: (219) 690-3494

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $870.

Total Amount is formed as General ($870) + Research ($0) + Ownership ($0) = $870.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($313).

Total Amount

$870

General + Research + Ownership

Payments

60

Total payment records

General Amount

$870

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2025-05-22

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
I20250522001152INurse 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.

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

Insurance plans in this area (ZIP 46307)

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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: 1254331184View full group profile
NameSpecialtyState
Nurse PractitionerIN
General SurgeryIN
Family PracticeAL
N E U R O S U R G E R YIN
O B S T E T R I C S/ G Y N E C O L O G YIN
Family PracticeIN
Nurse PractitionerIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

Is there an official ID for MARY ELIZABETH PARIS in U.S. healthcare records?
The official identifier for MARY ELIZABETH PARIS is NPI 1790564409.
Active or inactive — what applies to MARY ELIZABETH PARIS?
You should see MARY ELIZABETH PARIS as active in CMS-hosted NPPES data.
What kind of doctor is MARY ELIZABETH PARIS?
MARY ELIZABETH PARIS is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MARY ELIZABETH PARIS?
Directory geography for MARY ELIZABETH PARIS centers on Crown Point, Indiana.
When was this NPI issued?
Enumeration for MARY ELIZABETH PARIS is noted as September 22, 2023 where the registry provides it.

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