MRS. MARY ELIZABETH HARTER (FNP) – Nurse Practitioner, NPI 1669412052

MRS. MARY ELIZABETH HARTER (FNP) is a healthcare provider. based in Moss point, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. I-085233 (AL). The NPI Number for MRS. MARY ELIZABETH HARTER (FNP) is 1669412052

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY ELIZABETH HARTER (FNP)
NPI
1669412052
Phone
(228) 474-9511
Address
4770 AMOCO DR
Enumeration Date
7 June 2006
Last Update Date
7 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2284749511
Graduation Year
2004 (22 years ago)
PAC ID
8224073952
Group Practice PAC ID
8628989654
Professional Enrollment ID
I20190411001410
Address ID
MS395639627MO4770XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

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Provider Addresses for MRS. MARY ELIZABETH HARTER (FNP)

  • Amoco Drive, Escatawpa, Moss Point, Jackson County, Mississippi, 39563, United States

    MOSS POINT, MS 395639627

    Phone: (228) 474-9511

    Fax: (228) 474-9506

    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 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$17
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: 2019-04-11

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
I20190411001410INurse PractitionerMSTBD

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 39563)

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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: 8628989654View full group profile
NameSpecialtyState
Nurse PractitionerMS
-MS
Nurse PractitionerMS
Nurse PractitionerTX
Nurse PractitionerMS
-MS
Nurse PractitionerAL
Nurse PractitionerMS
O P T O M E T R YMS
Family PracticeMS

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Frequently asked questions

Is MRS. MARY ELIZABETH HARTER (FNP) listed with a National Provider Identifier?
Yes — MRS. MARY ELIZABETH HARTER (FNP) has NPI 1669412052 on file in the registry.
Would MRS. MARY ELIZABETH HARTER (FNP) appear as active to a payer?
You can treat MRS. MARY ELIZABETH HARTER (FNP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MRS. MARY ELIZABETH HARTER (FNP)?
MRS. MARY ELIZABETH HARTER (FNP) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. MARY ELIZABETH HARTER (FNP)?
Travel planning: use Moss Point, Mississippi as the reference point for MRS. MARY ELIZABETH HARTER (FNP), then confirm.
Does MRS. MARY ELIZABETH HARTER (FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.