MARY R INNIS RN PC
NPI 1053366963
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult in Worcester, MA
NPI Status: Active since May 23, 2006
Contact Information
100 CENTURY DR
WORCESTER, MA
ZIP 01606
Phone: (508) 762-5400
Fax: (508) 762-5410
NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: July 12, 2026.
Record update history: Nov 24, 2020, Nov 10, 2018 (2 updates tracked since 2018).
- Individual
- Female
- Clinical Nurse Specialist
- Psychiatric/Mental Health, Adult
About MARY INNIS
This page provides the complete NPI Profile along with additional information for Mary Innis, a provider established in Worcester, Massachusetts with a medical specialization in Clinical Nurse Specialist, focusing in psychiatric/mental health, adult . The healthcare provider is registered in the NPI registry with number 1053366963 assigned on May 2006. The practitioner's primary taxonomy code is 364SP0809X with license number 167110 (MA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1053366963
- Provider Name
- MARY R INNIS RN PC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 100 CENTURY DR WORCESTER, MA 01606
- Location Phone
- (508) 762-5400
- Location Fax
- (508) 762-5410
- Mailing Address
- PO BOX 415348 PROVIDER ENROLLMENT BOSTON, MA 02241
- Mailing Phone
- (800) 225-8885
- Mailing Fax
- (508) 334-1977
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-23-2006
- Last Update Date
- 11-24-2020
- Code Navigator
A Clinical Nurse Specialist (CNS) like Mary Innis is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Nurse Specialist Psychiatric/Mental Health, Adult
- Taxonomy Code
- 364SP0809X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 167110
- License State
- MA
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053366963, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WORCESTER, MA 01606
WORCESTER, MA 01606
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053366963, enumerated as an "individual" on May 23, 2006.
The provider is located at 100 CENTURY DR WORCESTER, MA 01606 and the phone number is (508) 762-5400.
Clinical Nurse Specialist with taxonomy code 364SP0809X and a focus in Psychiatric/Mental Health, Adult.
