MARYLOU DURON (FNP) – Nurse Practitioner, NPI 1386106151

MARYLOU DURON (FNP) is a healthcare provider. based in South haven, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 4704226552 (MI). The NPI Number for MARYLOU DURON (FNP) is 1386106151

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MARYLOU DURON (FNP)
NPI
1386106151
Phone
(269) 637-1115
Address
930 BLUE STAR HWY
Enumeration Date
2 April 2019
Last Update Date
6 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2696371115
Graduation Year
2001 (25 years ago)
PAC ID
8921334194
Group Practice PAC ID
9032008495
Professional Enrollment ID
I20190725001490
Address ID
MI490907758SO930XXHWYX400

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness95
Years active:7State licenses:1Other names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MARYLOU DURON (FNP)

  • 930 BLUE STAR HWY

    SOUTH HAVEN, MI 490907758

    Phone: (269) 637-1115

    Type: Location

  • Centennial Inn, 8, East 12th Street, Holland, Ottawa County, Michigan, 49423, United States

    HOLLAND, MI 494233606

    Phone: (616) 355-0998

    Type: Mailing

  • 601 JOHN STREET

    BOX 42

    KALAMAZOO, MI 49007

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $700.

Total Amount is formed as General ($700) + Research ($0) + Ownership ($0) = $700.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($268).

Total Amount

$700

General + Research + Ownership

Payments

16

Total payment records

General Amount

$700

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

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: 2019-07-25

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
I20190725001490INurse PractitionerMITBD

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 49090)

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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: 9032008495View full group profile
NameSpecialtyState
Physician AssistantMI
Physician AssistantMI
Clinical Social WorkerMI
Nurse PractitionerMI
Physician AssistantMI
Physician AssistantMI
General SurgeryMI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is the standard ID for MARYLOU DURON (FNP) in the U.S.?
In the U.S., MARYLOU DURON (FNP) is identified by NPI 1386106151.
Is MARYLOU DURON (FNP)'s NPI status active today?
Active status means MARYLOU DURON (FNP)'s NPI record is not deactivated in the public file.
How should patients interpret MARYLOU DURON (FNP)'s specialty?
The extract shows Nurse Practitioner for MARYLOU DURON (FNP). Clinical services aligned with this taxonomy classification.
Is MARYLOU DURON (FNP) tied to South Haven, Michigan?
If you are local to South Haven, Michigan, MARYLOU DURON (FNP) may be relevant to your search.
Can I export MARYLOU DURON (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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