MARY J HUGGINS (FNP) – Family Nurse Practitioner, NPI 1093003030

MARY J HUGGINS (FNP) is a healthcare provider. based in Clinton, Missouri. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 2011020053 (MO). The NPI Number for MARY J HUGGINS (FNP) is 1093003030

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MARY J HUGGINS (FNP)
NPI
1093003030
Phone
(660) 885-8171
Address
59 SW 446TH RD
Enumeration Date
12 July 2011
Last Update Date
12 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8166223342
Graduation Year
2011 (15 years ago)
PAC ID
1850564857
Group Practice PAC ID
8527340702
Professional Enrollment ID
I20111108000726
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MARY J HUGGINS (FNP)

  • 59 SW 446TH RD

    CLINTON, MO 647358400

    Phone: (660) 885-8171

    Type: Mailing

  • 1600 N 2ND ST

    CLINTON, MO 647351192

    Phone: (660) 885-8171

    Fax: (660) 885-8496

    Type: Location

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: 2018-04-20

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
I20111108000726INurse PractitionerMOTBD
I20180420000804INurse PractitionerKSTBD

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 64735)

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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: 8527340702View full group profile
NameSpecialtyState
Nurse PractitionerMO
Family PracticeKS
-MO
Family PracticeKS
Nurse PractitionerKS
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Family PracticeMO
-KS

Reviews

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Frequently asked questions

What unique ID ties claims to MARY J HUGGINS (FNP)?
NPI 1093003030 is assigned to MARY J HUGGINS (FNP) under the national enumeration system.
Does this profile mean MARY J HUGGINS (FNP) is currently active?
Yes — MARY J HUGGINS (FNP) appears active in the national provider directory.
What field does MARY J HUGGINS (FNP) work in?
You can think of MARY J HUGGINS (FNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY J HUGGINS (FNP)?
The page summarizes Clinton, Missouri for MARY J HUGGINS (FNP); expand the address list for detail.
Is MARY J HUGGINS (FNP) a real provider?
This page reflects official NPPES data for NPI 1093003030. Always confirm identity and privileges with the practice and licensing boards.

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