MARY EVELYN WARD (N.P.) – Family Nurse Practitioner, NPI 1588183156

MARY EVELYN WARD (N.P.) is a healthcare provider. based in Pennington gap, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 3011843 (KY). The NPI Number for MARY EVELYN WARD (N.P.) is 1588183156

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MARY EVELYN WARD (N.P.)
NPI
1588183156
Phone
(276) 546-1182
Address
121 Stacy Dr
Enumeration Date
15 September 2017
Last Update Date
24 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6067433186
Graduation Year
2020 (6 years ago)
PAC ID
5496011405
Group Practice PAC ID
4385035534
Professional Enrollment ID
I20171108000209
Address ID
KY414722049WE476XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:8State licenses:2Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for MARY EVELYN WARD (N.P.)

  • 121 Stacy Dr

    Pennington Gap, VA 242771929

    Phone: (276) 546-1182

    Fax: (276) 546-2497

    Type: Location

  • Box, Sequoyah County, Oklahoma, United States

    OKLAHOMA CITY, OK 731436288

    Phone: (800) 962-3303

    Fax: (405) 609-1466

    Type: Mailing

  • Ball Park Road, Harlan County, Kentucky, 40855, United States

    HARLAN, KY 408311701

    Phone: (606) 573-8201

    Fax: (405) 609-1466

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $536.

Total Amount is formed as General ($536) + Research ($0) + Ownership ($0) = $536.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Endo Pharmaceuticals Inc. ($105).

Total Amount

$536

General + Research + Ownership

Payments

26

Total payment records

General Amount

$536

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

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: 2022-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20171108000209INurse PractitionerKYTBD
I20220110000113INurse PractitionerVATBD

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 24277)

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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: 4385035534View full group profile
NameSpecialtyState
Emergency MedicineKY
Pediatric Medicine, Emergency Medicine, Internal Medicine, Internal MedicineKY
Emergency MedicineOH
Internal Medicine, Emergency MedicineWV
Nurse PractitionerKY
Physician AssistantLA
Nurse PractitionerKY
Nurse PractitionerKY
Internal Medicine, Emergency MedicineKY
Emergency MedicineKY

Reviews

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Frequently asked questions

What is the standard ID for MARY EVELYN WARD (N.P.) in the U.S.?
In the U.S., MARY EVELYN WARD (N.P.) is identified by NPI 1588183156.
Does the public listing show MARY EVELYN WARD (N.P.) as active?
MARY EVELYN WARD (N.P.)'s NPI record reflects an active status in NPPES.
What type of care does MARY EVELYN WARD (N.P.) provide?
MARY EVELYN WARD (N.P.)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MARY EVELYN WARD (N.P.)?
The directory associates MARY EVELYN WARD (N.P.) with Pennington Gap, Virginia. Check all listed addresses for suites or satellite offices.
Why is information missing for MARY EVELYN WARD (N.P.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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