MS. MARY KATHRYN PROCTOR CRNP
NPI 1144779158
Nurse Practitioner - Family in Clinton, MD

Active since October 03, 2016PECOS EnrolledAccepts Medicare Assignment
9135 PISCATAWAY RD, SUITE 420, CLINTON, MD 20735(301) 868-2555 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Kathryn Proctor Crnp NPPES

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

MS. MARY KATHRYN PROCTOR CRNP (NPI 1144779158) is an individual family provider in Clinton, Maryland, licensed in Maryland (R140050) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1144779158
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARY KATHRYN PROCTORCredential: CRNP
Location Address9135 PISCATAWAY RD, SUITE 420Clinton, MD 20735-2549
Mailing Address9135 Piscataway Rd, Suite 420Clinton, MD 20735-2549 · (301) 868-2555
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 3, 2016
Last NPPES UpdateOctober 12, 2016
NPI 1144779158 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
License Licensed in MD · R140050
Also ListedRegistered NurseTaxonomy 163W00000X · License R140050 (MD)
9135 PISCATAWAY RD, Clinton, MD 20735

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 Kathryn Proctor Crnp 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 ID6305117052
PECOS Enrollment IDI20170731000478
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 20735 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims45 services$6.69 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.71 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$35.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$68.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

General Practice
9135 PISCATAWAY RD
CLINTON, MD 20735
Pediatrics
9135 PISCATAWAY RD, SUITE 240
CLINTON, MD 20735
Dentist (General Practice)
9135 PISCATAWAY RD, SUITE 105
CLINTON, MD 20735
Dentist (General Practice)
9135 PISCATAWAY RD, SUITE 105
CLINTON, MD 20735
Physical Therapist
9135 PISCATAWAY RD, SUITE 305
CLINTON, MD 20735
Urology
9135 PISCATAWAY RD, STE 330
CLINTON, MD 20735
Allergy & Immunology (Allergy)
9135 PISCATAWAY RD, SUITE 215
CLINTON, MD 20735
Internal Medicine (Cardiovascular Disease)
9135 PISCATAWAY RD, SUITE 210
CLINTON, MD 20735

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 Proctor's NPI number?

The NPI number for Mary Proctor is 1144779158. It was assigned to this individual provider in the NPPES registry on October 3, 2016.

Where is Mary Proctor located?

Mary Proctor practices at 9135 Piscataway Rd Suite 420, Clinton, MD 20735. The listed phone number is (301) 868-2555.

What is Mary Proctor's specialty?

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

Is Mary Proctor enrolled in Medicare?

Yes. Mary Proctor 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.

When was this NPI record last updated?

The NPPES record for Mary Proctor was last updated on October 12, 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.