MARY S KNUTSON (ARNP) – Nurse Practitioner, NPI 1144750829

MARY S KNUTSON (ARNP) is a healthcare provider. based in Denver, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. A109101 (IA). The NPI Number for MARY S KNUTSON (ARNP) is 1144750829

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MARY S KNUTSON (ARNP)
NPI
1144750829
Phone
(319) 984-5645
Address
PO BOX 390
Enumeration Date
15 June 2017
Last Update Date
19 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
6406126085
Group Practice PAC ID
7618985714
Professional Enrollment ID
I20170714002552
Address ID
IA520022628DU4135XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,532 NURSE PRACTITIONER in IA

Provider Addresses for MARY S KNUTSON (ARNP)

  • 390, East 55th Avenue, Denver, Adams County, Colorado, 80216, United States

    DENVER, IA 506220390

    Phone: (319) 984-5645

    Fax: (319) 984-5364

    Type: Mailing

  • 111 TOWER ST

    DENVER, IA 506222201

    Phone: (319) 984-5645

    Fax: (319) 984-5364

    Type: Location

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: 2017-07-14

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
I20170714002552INurse PractitionerIATBD

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 50622)

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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: 7618985714View full group profile
NameSpecialtyState
Nurse PractitionerIA
Family Practice, HospitalistIA
Orthopedic SurgeryIA
N E U R O L O G YIA
Family PracticeIA
Internal MedicineIA
Physician AssistantIA
Internal Medicine, NephrologyIA
Orthopedic SurgeryWI
Physical Medicine And RehabilitationIA

Reviews

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Frequently asked questions

What number should I use to identify MARY S KNUTSON (ARNP) for billing?
Administrative and clinical systems typically use NPI 1144750829 for MARY S KNUTSON (ARNP).
Does the public listing show MARY S KNUTSON (ARNP) as active?
MARY S KNUTSON (ARNP)'s NPI record reflects an active status in NPPES.
How should patients interpret MARY S KNUTSON (ARNP)'s specialty?
The extract shows Nurse Practitioner for MARY S KNUTSON (ARNP). Clinical services aligned with this taxonomy classification.
Is MARY S KNUTSON (ARNP) tied to Denver, Iowa?
If you are local to Denver, Iowa, MARY S KNUTSON (ARNP) may be relevant to your search.
Can I export MARY S KNUTSON (ARNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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