MS. MARY KATHRYN PROCTOR (CRNP) – Family Nurse Practitioner, NPI 1144779158
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,767 NURSE PRACTITIONER in MD
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Provider Addresses for MS. MARY KATHRYN PROCTOR (CRNP)
9135, Piscataway Road, Clinton, Prince George's County, Maryland, 20735, United States
SUITE 420
CLINTON, MD 207352549
Phone: (301) 868-2555
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)
CMS reports 23 Open Payments records for all available years, with a total value of $564.
Total Amount is formed as General ($564) + Research ($0) + Ownership ($0) = $564.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($120).
Total Amount
$564
General + Research + Ownership
Payments
23
Total payment records
General Amount
$564
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $120 |
| Mylan Specialty L.P. | $114 |
| Merck Sharp & Dohme LLC | $62 |
| Abbott Laboratories | $46 |
| Lilly USA, LLC | $38 |
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: 2017-07-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170731000478 | I | Nurse Practitioner | DC | TBD |
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.
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 20735)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MD |
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