MARY J CORDER – Family Nurse Practitioner, NPI 1073903589

MARY J CORDER is a healthcare provider. based in Houston, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP127489 (TX). The NPI Number for MARY J CORDER is 1073903589

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MARY J CORDER
NPI
1073903589
Phone
(713) 428-1466
Address
9757 PINE LAKE DR
Enumeration Date
4 February 2015
Last Update Date
16 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2815741104
Graduation Year
2014 (12 years ago)
PAC ID
1456670504
Group Practice PAC ID
4880071679
Professional Enrollment ID
I20150512001461
Address ID
TX774947870KA5102XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MARY J CORDER

  • 9757 PINE LAKE DR

    APT 1093

    HOUSTON, TX 770556149

    Phone: (713) 428-1466

    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 3 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2023-12-05 • Largest payer in this snapshot: Abbott Laboratories ($39).

Total Amount

$53

General + Research + Ownership

Payments

3

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-05

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: 2025-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20150512001461INurse PractitionerTXTBD
I20230802003801INurse PractitionerLATBD
I20250128000520INurse PractitionerFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
99284Emergency department visit with moderate level of medical decision making1717$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
99202New patient office or other outpatient visit, 15-29 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 77055)

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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: 4880071679View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerNY
Nurse PractitionerMO
Nurse PractitionerTX
Nurse PractitionerNM
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantCA

Reviews

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Frequently asked questions

Does MARY J CORDER have a public NPI I can cite?
Public records show MARY J CORDER under NPI 1073903589.
Is MARY J CORDER currently accepting referrals based on NPI status?
Registry metadata lists MARY J CORDER as active.
Which specialty label fits MARY J CORDER?
NPPES ties MARY J CORDER to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARY J CORDER?
MARY J CORDER is associated with Houston, Texas in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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