MARY JEAN NOLAN (APRN) – Family Nurse Practitioner, NPI 1215416581

MARY JEAN NOLAN (APRN) is a healthcare provider. based in West liberty, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3012318 (KY). The NPI Number for MARY JEAN NOLAN (APRN) is 1215416581

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MARY JEAN NOLAN (APRN)
NPI
1215416581
Phone
(606) 743-2800
Address
200 Road To Justice
Enumeration Date
8 August 2018
Last Update Date
10 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8597243057
Graduation Year
2017 (9 years ago)
PAC ID
1658624713
Group Practice PAC ID
9830354638
Professional Enrollment ID
I20181019001425
Address ID
KY404222425DA1591XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for MARY JEAN NOLAN (APRN)

  • 200 Road To Justice

    West Liberty, KY 414722140

    Phone: (606) 743-2800

    Type: Location

  • The Highway, Ratcliffe, Limehouse, London Borough of Tower Hamlets, London, Greater London, England, E1W 3WF, United Kingdom

    LONDON, KY 40741

    Phone: (606) 330-0055

    Fax: (606) 657-2441

    Type: Location

  • 200 ROAD TO JUSTICE

    WEST LIBERTY, KY 414722140

    Phone: (606) 743-2800

    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: 2018-10-19

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
I20181019001425INurse PractitionerKYTBD

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
87804Detection test by immunoassay with direct visual observation for influenza virus2915$0
99285Emergency department visit with high level of medical decision making2626$0
99213Established patient office or other outpatient visit, 20-29 minutes2020$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1919$0
99284Emergency department visit with moderate level of medical decision making1717$0
View full utilization report →

Insurance plans in this area (ZIP 41472)

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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: 9830354638View full group profile

Reviews

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Frequently asked questions

Where can patients find MARY JEAN NOLAN (APRN)'s NPI?
You can confirm MARY JEAN NOLAN (APRN) with NPI 1215416581; it appears in the national provider directory.
Is MARY JEAN NOLAN (APRN) active in the national directory?
MARY JEAN NOLAN (APRN)'s public NPI profile is in an active state.
What kind of provider is MARY JEAN NOLAN (APRN)?
The page reflects Family Nurse Practitioner for MARY JEAN NOLAN (APRN). Clinical services aligned with this taxonomy classification.
Does MARY JEAN NOLAN (APRN) practice in Kentucky?
You will see West Liberty, Kentucky on file for MARY JEAN NOLAN (APRN) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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