MARY R KIDD (APNP) – Family Nurse Practitioner, NPI 1114481942

MARY R KIDD (APNP) is a healthcare provider. based in Menominee, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials APNP. They hold a License No. 4704305878 (MI). The NPI Number for MARY R KIDD (APNP) is 1114481942

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MARY R KIDD (APNP)
NPI
1114481942
Phone
(906) 863-7987
Address
1100 10th St
Enumeration Date
25 January 2019
Last Update Date
9 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204333640
Graduation Year
2018 (8 years ago)
PAC ID
5395084933
Group Practice PAC ID
8820900749
Professional Enrollment ID
I20190313001665
Address ID
WI542011808AL831XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:7State licenses:3Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MARY R KIDD (APNP)

  • 1100 10th St

    Menominee, MI 498583062

    Phone: (906) 863-7987

    Fax: (906) 863-5762

    Type: Location

  • 441 French St

    Peshtigo, WI 541571203

    Phone: (715) 582-9949

    Fax: (715) 582-4464

    Type: Location

  • 831 Parker Ave

    Algoma, WI 542011808

    Phone: (920) 487-3676

    Fax: (920) 487-3084

    Type: Location

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    GREEN BAY, WI 543052487

    Phone: (920) 445-7222

    Fax: (920) 445-7289

    Type: Mailing

  • Bellin Health, 610, South Lincoln Road, Escanaba, Delta County, Michigan, 49829, United States

    ESCANABA, MI 498291215

    Phone: (906) 786-6488

    Fax: (906) 786-6409

    Type: Location

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 $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2023-10-03 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$32
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: 2019-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190226003435INurse PractitionerMITBD
I20190313001665INurse PractitionerWITBD

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
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes12969$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes9137$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes7241$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes5826$0
36415Insertion of needle into vein for collection of blood sample3116$0
View full utilization report →

Insurance plans in this area (ZIP 49858)

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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: 8820900749View full group profile
NameSpecialtyState
Family PracticeWI
-WI
Nurse PractitionerWI
Physical Therapist In Private PracticeWI
-WI
-WI
O B S T E T R I C S/ G Y N E C O L O G YWI
Nurse PractitionerWA
Certified Registered Nurse Anesthetist (Crna)WI
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

Is MARY R KIDD (APNP) listed with a National Provider Identifier?
Yes — MARY R KIDD (APNP) has NPI 1114481942 on file in the registry.
Would MARY R KIDD (APNP) appear as active to a payer?
You can treat MARY R KIDD (APNP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MARY R KIDD (APNP)'s focus?
For MARY R KIDD (APNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MARY R KIDD (APNP) associated with Menominee?
Public fields place MARY R KIDD (APNP) around Menominee, Michigan. Always confirm the exact site before visiting.
Does MARY R KIDD (APNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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