MARY J NIEMEYER (FNP) – Family Nurse Practitioner, NPI 1477530475

MARY J NIEMEYER (FNP) is a healthcare provider. based in Hudsonville, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 4704190536 (MI). The NPI Number for MARY J NIEMEYER (FNP) is 1477530475

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MARY J NIEMEYER (FNP)
NPI
1477530475
Phone
(616) 340-4633
Address
3828 KENTUCKY LN
Enumeration Date
30 December 2005
Last Update Date
9 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9896673440
Graduation Year
2005 (21 years ago)
PAC ID
0446264154
Group Practice PAC ID
5991165458
Professional Enrollment ID
I20060202000250
Address ID
MI48642XXXXMIXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for MARY J NIEMEYER (FNP)

  • Kentucky Lane, Hudsonville, Ottawa County, Michigan, 49426, United States

    HUDSONVILLE, MI 494268107

    Phone: (616) 340-4633

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-02-02

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
I20060202000250INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making3027$0
99291Critical care, first 30-74 minutes1919$0
99285Emergency department visit with high level of medical decision making1615$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1111$0
View full utilization report →

Insurance plans in this area (ZIP 49426)

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Provider's Procedures

MARY J NIEMEYER (FNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report10199

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: 5991165458View full group profile
NameSpecialtyState
Nurse PractitionerSC
Nurse PractitionerPA
Nurse PractitionerNC
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerMI
Nurse PractitionerPA
Nurse PractitionerOH
Nurse PractitionerIL
Nurse PractitionerMI

Reviews

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Frequently asked questions

What is the registry number for MARY J NIEMEYER (FNP)?
The registry entry for MARY J NIEMEYER (FNP) shows NPI 1477530475.
Is MARY J NIEMEYER (FNP) currently accepting referrals based on NPI status?
Registry metadata lists MARY J NIEMEYER (FNP) as active.
How should patients interpret MARY J NIEMEYER (FNP)'s specialty?
The extract shows Family Nurse Practitioner for MARY J NIEMEYER (FNP). Clinical services aligned with this taxonomy classification.
Can patients visit MARY J NIEMEYER (FNP) in Hudsonville, Michigan?
For routing, start with Hudsonville, Michigan for MARY J NIEMEYER (FNP), then verify phone and hours locally.
Why is information missing for MARY J NIEMEYER (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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