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MARY PATRICIA HEADLEY FNP
NPI 1114006665
Nurse Practitioner - Family in Carlsbad, CA

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
5838 EDISON PL, STE 100, CARLSBAD, CA 92008(214) 460-3036 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 21, 2021, Aug 6, 2017, Jan 20, 2017 (3 updates tracked since 2017).

About Mary Patricia Headley Fnp NPPES

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

MARY PATRICIA HEADLEY FNP (NPI 1114006665) is an individual family provider in Carlsbad, California, licensed in California (22257) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1114006665
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY PATRICIA HEADLEYCredential: FNP
Location Address5838 EDISON PL, STE 100Carlsbad, CA 92008-5520
Mailing Address5838 Edison Pl, Ste 100Carlsbad, CA 92008-5520 · (214) 460-3036
Phone(214) 460-3036
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateNovember 3, 2006
Last NPPES UpdateDecember 21, 20213 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
✔ NPI 1114006665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 22257✔ Licensed in TX · 508116
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 22257 (CA)
5838 EDISON PL, Carlsbad, CA 92008
Open in Google Maps ↗

Secondary Practice Location 1

Location 13100 McKinnon StDallas, TX 75201-1044 · Phone (214) 754-8700 ext. 335 · Fax (469) 893-1938

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Patricia Headley Fnp 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 ID2567565112
PECOS Enrollment IDI20121227000334
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,507 services400 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
531 services234 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
409 services382 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
387 services155 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
355 services276 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
217 services152 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92008 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management
Percentage of patients with dementia for whom there was a documented symptoms screening* for behavioral and psychiatric symptoms, including depression, AND for whom, if symptoms screening was positive, there was also documentation of recommendations for…
100%499 patients5/55-star benchmark: 100%
Dementia: Functional Status Assessment
Percentage of patients with dementia for whom an assessment of functional status* was performed at least once in the last 12 months
100%499 patients5/55-star benchmark: 100%
Dementia: Safety Concerns Screening and Mitigation Recommendations or Referral for Patients with Dementia
Percentage of patients with dementia or their caregiver(s) for whom there was a documented safety concerns screening * in two domains of risk: 1) dangerousness to self or others and 2) environmental risks; and if safety concerns screening was positive in the…
100%499 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%425 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

TRACY MARKOV M.A., BCBA
Behavior Analyst
5838 EDISON PL, SUITE 120
CARLSBAD, CA 92008
San Diego County (760) 438-0078
NATALIE HOXIE BCBA
Behavior Analyst
5838 EDISON PL
CARLSBAD, CA 92008
San Diego County (760) 438-0078
MAXIM HEALTH CARE
Community/Behavioral Health
5838 EDISON PL
CARLSBAD, CA 92008
San Diego County (760) 438-0078
GEMMA DULOSA BALCITA
Nurse Practitioner (Psychiatric/Mental Health)
5838 EDISON PL
CARLSBAD, CA 92008
San Diego County (888) 515-3834

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 Headley's NPI number?

The NPI number for Mary Headley is 1114006665. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Mary Headley located?

Mary Headley practices at 5838 Edison Pl Ste 100, Carlsbad, CA 92008. The listed phone number is (214) 460-3036.

What is Mary Headley's specialty?

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

Is Mary Headley enrolled in Medicare?

Yes. Mary Headley 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.

What insurance does Mary Headley accept?

Health plans from Providence Health Plan list Mary Headley 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 Headley was last updated on December 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.