MARY KATHERINE TULLY – Psychiatric/Mental Health Nurse Practitioner, NPI 1457105637
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
Provider Addresses for MARY KATHERINE TULLY
2806 ECLETO BLVD
WICHITA FALLS, TX 763085132
Phone: (773) 793-4904
Type: Mailing
1411 9TH ST
WICHITA FALLS, TX 763014302
Phone: (940) 386-9041
Fax: (940) 386-9079
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $1,338.
Total Amount is formed as General ($1,338) + Research ($0) + Ownership ($0) = $1,338.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($412).
Total Amount
$1,338
General + Research + Ownership
Payments
50
Total payment records
General Amount
$1,338
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-08-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250808003342 | I | Nurse Practitioner | TX | TBD |
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.
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 76308)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| - | TX | |
| Sports Medicine, Family Practice | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| Internal Medicine | TX | |
| U R O L O G Y | TX | |
| Endocrinology, Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX |
Reviews
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