MARY BETH PATTERSON APRN
NPI 1063121259
Nurse Practitioner - Family in Ketchikan, AK
About Mary Beth Patterson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY BETH PATTERSON APRN (NPI 1063121259) is an individual family provider in Ketchikan, Alaska, licensed in Alaska (202209) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Beth Patterson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Patterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Eagle River, AK 99577
- Reassigned Medicare billing, Alaska enrollment
- 3 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 99901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Patterson's NPI number?
The NPI number for Mary Patterson is 1063121259. It was assigned to this individual provider in the NPPES registry on November 16, 2022. The provider is also known as Mary Beth Kirby Rn.
Where is Mary Patterson located?
Mary Patterson practices at 74 Carltons Dr, Ketchikan, AK 99901. The listed phone number is (520) 981-3725.
What is Mary Patterson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Patterson enrolled in Medicare?
Yes. Mary Patterson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Patterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Patterson reassigns Medicare benefits to Tranquility Behavioral Telehealth LLC (Eagle River, AK). 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 Patterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Patterson accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Mary Patterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Patterson was last updated on November 16, 2022. 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.
# Mary Beth Patterson, APRN · NPI 1063121259
Family physician in Ketchikan, Alaska. Individual provider, active in the CMS NPPES registry since November 16, 2022.
## Identity
- **NPI:** 1063121259 (Entity type: Individual)
- **Enumerated:** November 16, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 202209 (Alaska)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 74 CARLTONS DR, Ketchikan, AK 99901-9322
- **Phone:** (520) 981-3725
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tranquility Behavioral Telehealth LLC (NPI 1306488572, Eagle River, AK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** November 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063121259) · Data from the CMS NPPES public registry.