MARY PRUM TALJIC (NP) – Family Nurse Practitioner, NPI 1063185742

MARY PRUM TALJIC (NP) is a healthcare provider. based in Salem, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN2290634 (MA). The NPI Number for MARY PRUM TALJIC (NP) is 1063185742

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MARY PRUM TALJIC (NP)
NPI
1063185742
Phone
(978) 744-8388
Address
27 CONGRESS ST STE 513
Enumeration Date
28 July 2021
Last Update Date
3 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9787448388
Graduation Year
2021 (5 years ago)
PAC ID
1951796358
Group Practice PAC ID
4880666452
Professional Enrollment ID
I20220322001733
Address ID
MA019707308SA47XXXSTXX300

Contacts

Main Contact
Lynn
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

8,971 NURSE PRACTITIONER in MA

Provider Addresses for MARY PRUM TALJIC (NP)

  • 27 CONGRESS ST STE 513

    SALEM, MA 019705523

    Phone: (978) 744-8388

    Type: Mailing

  • 47 CONGRESS ST

    SALEM, MA 019705590

    Phone: (978) 744-8388

    Type: Location

  • 269 UNION ST

    LYNN, MA 019011314

    Phone: (781) 581-3900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Gilead Sciences, Inc. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$27
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: 2022-03-22

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
I20220322001733INurse PractitionerMATBD

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 01970)

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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: 4880666452View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
-NH
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Nurse PractitionerMA
-MA
-MA

Reviews

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Frequently asked questions

What is the registry number for MARY PRUM TALJIC (NP)?
The registry entry for MARY PRUM TALJIC (NP) shows NPI 1063185742.
Should I treat MARY PRUM TALJIC (NP) as an active provider?
Patients and plans typically see MARY PRUM TALJIC (NP) as active in the national extract.
What does the directory say MARY PRUM TALJIC (NP) does?
Insurance directories may phrase it differently, but here MARY PRUM TALJIC (NP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MARY PRUM TALJIC (NP) tied to Salem, Massachusetts?
If you are local to Salem, Massachusetts, MARY PRUM TALJIC (NP) may be relevant to your search.
Can I export MARY PRUM TALJIC (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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