MARY K PALLOTTA (CNP, MSN) – Primary Care Nurse Practitioner, NPI 1023419470

MARY K PALLOTTA (CNP, MSN) is a healthcare provider. based in Middleburg heights, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP, MSN. They hold a License No. COA 16751-NP (OH). The NPI Number for MARY K PALLOTTA (CNP, MSN) is 1023419470

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MARY K PALLOTTA (CNP, MSN)
NPI
1023419470
Phone
(440) 816-2525
Address
7255 OLD OAK BLVD
Enumeration Date
4 September 2014
Last Update Date
18 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4408166051
Graduation Year
2014 (12 years ago)
PAC ID
9739403387
Group Practice PAC ID
8527964550
Professional Enrollment ID
I20150130001094
Address ID
OH441303417CL18697RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MARY K PALLOTTA (CNP, MSN)

  • 7255 OLD OAK BLVD

    MIDDLEBURG HEIGHTS, OH 441303329

    Phone: (440) 816-2525

    Fax: (440) 816-5437

    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 13 Open Payments records for all available years, with a total value of $224.

Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($60).

Total Amount

$224

General + Research + Ownership

Payments

13

Total payment records

General Amount

$224

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-01-30

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
I20150130001094INurse PractitionerOHTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 44130)

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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: 8527964550View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerOH
Certified Registered Nurse Anesthetist (Crna)OH
Anesthesiology AssistantCO
-OH
Anesthesiology AssistantOH
-OH
-OH

Reviews

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Frequently asked questions

What federal number belongs to MARY K PALLOTTA (CNP, MSN)?
The federal identifier for MARY K PALLOTTA (CNP, MSN) is NPI 1023419470.
Does this profile mean MARY K PALLOTTA (CNP, MSN) is currently active?
Yes — MARY K PALLOTTA (CNP, MSN) appears active in the national provider directory.
What does MARY K PALLOTTA (CNP, MSN) treat or focus on?
Patients typically see MARY K PALLOTTA (CNP, MSN) under the specialty Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY K PALLOTTA (CNP, MSN)?
The page summarizes Middleburg Heights, Ohio for MARY K PALLOTTA (CNP, MSN); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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