MARY PRINCE DPM
NPI 1043389406
Podiatrist in San Leandro, CA
About Mary Prince Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY PRINCE DPM (NPI 1043389406) is an individual podiatrist in San Leandro, California, licensed in California (E4324) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Prince Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Prince reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Redwood City, CA 94063
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Prince's NPI number?
The NPI number for Mary Prince is 1043389406. It was assigned to this individual provider in the NPPES registry on November 7, 2006.
Where is Mary Prince located?
Mary Prince practices at 2500 Merced St, San Leandro, CA 94577. The listed phone number is (510) 454-1000.
What is Mary Prince's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Mary Prince enrolled in Medicare?
Yes. Mary Prince is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Prince's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Prince reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Prince's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Prince was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Mary Prince, DPM · NPI 1043389406
Podiatrist provider in San Leandro, California. Individual provider, active in the CMS NPPES registry since November 7, 2006.
## Identity
- **NPI:** 1043389406 (Entity type: Individual)
- **Enumerated:** November 7, 2006
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **State license:** E4324 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 MERCED ST, San Leandro, CA 94577-4201
- **Phone:** (510) 454-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1639252604, Redwood City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1043389406) · Data from the CMS NPPES public registry.