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MAVIS TERRY NP
NPI 1063104669
Nurse Practitioner in Tampa, FL

Active since May 22, 2023PECOS EnrolledAccepts Medicare Assignment
2326 W SAINT LOUIS ST, TAMPA, FL 33607(719) 360-4503 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mavis Terry Np NPPES

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

MAVIS TERRY NP (NPI 1063104669) is an individual nurse practitioner in Tampa, Florida, licensed in Florida (11025250) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2022).

NPPES Registry Identity

NPI1063104669
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMAVIS TERRYCredential: NP
Location Address2326 W SAINT LOUIS STTampa, FL 33607-2639
Mailing Address2326 W Saint Louis StTampa, FL 33607-2639 · (719) 360-4503
Phone(719) 360-4503
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2022
Enumeration DateMay 22, 2023
NPPES CertifiedMay 22, 2023
✔ NPI 1063104669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · 11025250
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2326 W SAINT LOUIS ST, Tampa, FL 33607
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mavis Terry Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800328444
PECOS Enrollment IDI20241021001508
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.

Medicare Billing Reassignment

Medicare enrollment records show Mavis Terry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emory Medical Care Foundation Inc
414 mi
Physical Medicine & Rehabilitation
80 JESSE HILL JR DR SE
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063678563 (404) 778-5014

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 33607 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Mavis Terry's NPI number?

The NPI number for Mavis Terry is 1063104669. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Mavis Terry located?

Mavis Terry practices at 2326 W Saint Louis St, Tampa, FL 33607. The listed phone number is (719) 360-4503.

What is Mavis Terry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mavis Terry enrolled in Medicare?

Yes. Mavis Terry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mavis Terry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mavis Terry reassigns Medicare benefits to Emory Medical Care Foundation Inc (Atlanta, GA). 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 Mavis Terry'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 Mavis Terry was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.