MS. MARY CORDELLIA DWYER (APRN- BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1255808747

MS. MARY CORDELLIA DWYER (APRN- BC) is a healthcare provider. based in Greenville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN- BC. They hold a License No. 3012846 (KY). The NPI Number for MS. MARY CORDELLIA DWYER (APRN- BC) is 1255808747

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARY CORDELLIA DWYER (APRN- BC)
NPI
1255808747
Phone
(270) 377-3077
Address
226 HOPKINSVILLE ST
Enumeration Date
1 November 2018
Last Update Date
11 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2703773077
Graduation Year
2018 (8 years ago)
PAC ID
8123363140
Group Practice PAC ID
5193769370
Professional Enrollment ID
I20181219003573
Address ID
KY423451214GR226XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

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Provider Addresses for MS. MARY CORDELLIA DWYER (APRN- BC)

  • 226, Hopkinsville Street, Greenville, Muhlenberg County, Kentucky, 42345, United States

    GREENVILLE, KY 423451214

    Phone: (270) 377-3077

    Fax: (270) 377-3002

    Type: Location

  • 480, Hopkinsville Street, Greenville, Muhlenberg County, Kentucky, 42345, United States

    GREENVILLE, KY 423451124

    Phone: (270) 338-5777

    Fax: (270) 338-5765

    Type: Mailing

  • 228 HOPKINSVILLE ST

    GREENVILLE, KY 423451214

    Phone: (270) 377-3077

    Fax: (270) 377-3002

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 124 Open Payments records for all available years, with a total value of $2,052.

Total Amount is formed as General ($2,052) + Research ($0) + Ownership ($0) = $2,052.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($485).

Total Amount

$2,052

General + Research + Ownership

Payments

124

Total payment records

General Amount

$2,052

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-12-19

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
I20181219003573INurse 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
80305Testing for presence of drug, read by direct observation5320$0
View full utilization report →

Insurance plans in this area (ZIP 42345)

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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: 5193769370View full group profile
NameSpecialtyState
-KY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Internal MedicineKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Does MS. MARY CORDELLIA DWYER (APRN- BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. MARY CORDELLIA DWYER (APRN- BC) uses 1255808747.
Is MS. MARY CORDELLIA DWYER (APRN- BC) listed as active for patients and plans?
The listing shows MS. MARY CORDELLIA DWYER (APRN- BC) as active in the NPI system.
What healthcare role does MS. MARY CORDELLIA DWYER (APRN- BC) hold?
Scheduling teams often label MS. MARY CORDELLIA DWYER (APRN- BC) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MS. MARY CORDELLIA DWYER (APRN- BC)?
MS. MARY CORDELLIA DWYER (APRN- BC)'s geographic hint is Greenville, Kentucky in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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