Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARY TUMSUTAN APRN
NPI 1013827872
Nurse Practitioner - Family in Jacksonville, IL

Q: What is Mary Tumsutan's NPI number?

The NPI number for Mary Tumsutan is 1013827872. It was assigned to this individual provider in the NPPES registry on September 11, 2026. The provider is also known as Piyanush Tumsatan.

Q: What is Mary Tumsutan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Tumsutan was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 11, 2026PECOS Enrolled

901 W MORTON AVE STE 22, JACKSONVILLE, IL 62650(217) 588-6140(217) 588-3043 Get Directions Write a Review

NPPES record added: September 11, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Mary Tumsutan Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY TUMSUTAN APRN (NPI 1013827872) is an individual family provider in Jacksonville, Illinois, licensed in Illinois (209034219) and active in the NPI registry since September 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013827872

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY TUMSUTANCredential: APRN

Location Address901 W MORTON AVE STE 22Jacksonville, IL 62650-4021

Mailing Address901 W Morton Ave Ste 22Jacksonville, IL 62650-4021 · (217) 588-6140 · Fax (217) 588-3043

Phone(217) 588-6140

Fax(217) 588-3043

Sole ProprietorNo

Enumeration DateSeptember 11, 2026

NPPES CertifiedSeptember 11, 2026

✔ NPI 1013827872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209034219

901 W MORTON AVE STE 22, Jacksonville, IL 62650

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Other Names 1

Other Name (5)Piyanush Tumsatan

Other Identifiers 1

Other041481801IL · Rn License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Tumsutan Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62650 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN B SMITH FNP-C

Nurse Practitioner (Family)