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MS. MARY MICHELLE LIVELY NP-C
NPI 1114261401
Nurse Practitioner - Family in Dallas, TX

Active since November 27, 2012PECOS EnrolledAccepts Medicare Assignment
8198 WALNUT HILL LN STE 100, DALLAS, TX 75231(214) 345-4449(214) 345-1238 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2016, Aug 19, 2016 (2 updates tracked since 2016).

About Ms. Mary Michelle Lively Np-c NPPES

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

MS. MARY MICHELLE LIVELY NP-C (NPI 1114261401) is an individual family provider in Dallas, Texas, licensed in Texas (AP122051) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114261401
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARY MICHELLE LIVELYCredential: NP-C
Location Address8198 WALNUT HILL LN STE 100Dallas, TX 75231-4316
Mailing Address8198 Walnut Hill Ln Ste 100Dallas, TX 75231-4316 · (214) 345-4449 · Fax (214) 345-1238
Phone(214) 345-4449
Fax(214) 345-1238
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 27, 2012
Last NPPES UpdateSeptember 20, 20162 updates tracked since enumeration
✔ NPI 1114261401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP122051
8198 WALNUT HILL LN STE 100, Dallas, TX 75231
Open in Google Maps ↗

Other Identifiers 7

Medicaid338206102TX
Medicare PIN276722YK99TX
Other8543NHTX · Bcbs Tx
Medicare PIN276722YK9HTX
Medicaid338206103TX
Medicare PIN276722YKQLTX
Medicare PIN276722YK8ATX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Ms. Mary Michelle Lively Np-c 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 ID4880831254
PECOS Enrollment IDI20130503000112
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES 5

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

KERWIN MEMORY CENTER LLC
Internal Medicine (Geriatric Medicine)
8198 WALNUT HILL LN STE 100
DALLAS, TX 75231
Dallas County (972) 433-9100
KRC MEMORY CARE PLLC
Internal Medicine (Geriatric Medicine)
8198 WALNUT HILL LN STE 100
DALLAS, TX 75231
Dallas County (972) 433-9100
AMITABH GUPTA M.D. PH.D.
Psychiatry & Neurology (Neurology)
8198 WALNUT HILL LN STE 100
DALLAS, TX 75231
Dallas County (214) 345-4440
JENNIFER THUY VO MSN, RN, ACNP-BC
Nurse Practitioner (Acute Care)
8198 WALNUT HILL LN STE 100
DALLAS, TX 75231
Dallas County (214) 345-4449
DIANA R KERWIN MD
Internal Medicine (Geriatric Medicine)
8198 WALNUT HILL LN STE 100
DALLAS, TX 75231
Dallas County (214) 345-4449

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 Lively's NPI number?

The NPI number for Mary Lively is 1114261401. It was assigned to this individual provider in the NPPES registry on November 27, 2012.

Where is Mary Lively located?

Mary Lively practices at 8198 Walnut Hill Ln Ste 100, Dallas, TX 75231. The listed phone number is (214) 345-4449.

What is Mary Lively's specialty?

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

Is Mary Lively enrolled in Medicare?

Yes. Mary Lively 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 Lively accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Mary Lively 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 Lively was last updated on September 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.