MS. MARY J. FLORES (ANP) – Adult Health Nurse Practitioner, NPI 1174811095

MS. MARY J. FLORES (ANP) is a healthcare provider. based in Union, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. 26NJ00319000 (NJ). The NPI Number for MS. MARY J. FLORES (ANP) is 1174811095

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARY J. FLORES (ANP)
NPI
1174811095
Phone
(908) 964-8866
Address
124 GLENWOOD CT
Enumeration Date
12 July 2011
Last Update Date
12 July 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2018588444
Graduation Year
2008 (18 years ago)
PAC ID
5890921555
Group Practice PAC ID
7012275530
Professional Enrollment ID
I20140730001426
Address ID
NJ070023987BA534XXEXXX304
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

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for MS. MARY J. FLORES (ANP)

  • 124 GLENWOOD CT

    UNION, NJ 070836105

    Phone: (908) 964-8866

    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 $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-08-26 • Largest payer in this snapshot: Medline Industries LP ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medline Industries LP$22
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: 2014-07-30

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
I20140730001426INurse PractitionerNJTBD

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 07083)

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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: 7012275530View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. MARY J. FLORES (ANP)?
MS. MARY J. FLORES (ANP) — NPI 1174811095 — is the standard way to identify this listing.
Can I rely on MS. MARY J. FLORES (ANP) being an active provider?
As of the registry snapshot, MS. MARY J. FLORES (ANP) is marked active.
What is MS. MARY J. FLORES (ANP)'s primary classification?
Adult Health Nurse Practitioner is the headline specialty for MS. MARY J. FLORES (ANP) here. Clinical services aligned with this taxonomy classification.
What address line appears for MS. MARY J. FLORES (ANP)?
MS. MARY J. FLORES (ANP)'s geographic hint is Union, New Jersey in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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