MARTHA R. MUSTION (F.N.P.) – Family Nurse Practitioner, NPI 1205830601

MARTHA R. MUSTION (F.N.P.) is a healthcare provider. based in Maryville, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials F.N.P.. They hold a License No. 096048 (MO). The NPI Number for MARTHA R. MUSTION (F.N.P.) is 1205830601

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MARTHA R. MUSTION (F.N.P.)
NPI
1205830601
Phone
(660) 562-2525
Address
114 E SOUTH HILLS DR
Enumeration Date
13 June 2005
Last Update Date
23 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
3476689233
Group Practice PAC ID
8921917352
Professional Enrollment ID
I20100604000488
Address ID
MO644682655MA2016XSTXX400
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

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for MARTHA R. MUSTION (F.N.P.)

  • East South Hills Drive, Maryville, Nodaway County, Missouri, 64468, United States

    MARYVILLE, MO 644682659

    Phone: (660) 562-2525

    Fax: (660) 562-4308

    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: 2010-03-31

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
I20100331000329INurse PractitionerMOTBD

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 64468)

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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: 8921917352View full group profile
NameSpecialtyState
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Physician AssistantMO
-MO
Physician AssistantMO
Physician AssistantMO
Nurse PractitionerMO
P S Y C H I A T R YKS
Cardiovascular Disease (Cardiology), Internal MedicineAR

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Frequently asked questions

What is the registry number for MARTHA R. MUSTION (F.N.P.)?
The registry entry for MARTHA R. MUSTION (F.N.P.) shows NPI 1205830601.
Does the public listing show MARTHA R. MUSTION (F.N.P.) as active?
MARTHA R. MUSTION (F.N.P.)'s NPI record reflects an active status in NPPES.
How should patients interpret MARTHA R. MUSTION (F.N.P.)'s specialty?
The extract shows Family Nurse Practitioner for MARTHA R. MUSTION (F.N.P.). Clinical services aligned with this taxonomy classification.
Can patients visit MARTHA R. MUSTION (F.N.P.) in Maryville, Missouri?
For routing, start with Maryville, Missouri for MARTHA R. MUSTION (F.N.P.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.