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MARY ANICE ALLEN ARNP
NPI 1164726915
Nurse Practitioner - Family in Yakima, WA

Active since January 07, 2011PECOS Enrolled
83.81/100
CMS Quality Rating
513 W WASHINGTON AVE, YAKIMA, WA 98903(360) 426-2033(509) 816-4241 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2026, Apr 16, 2024, Jun 7, 2021 and 3 more (6 updates tracked since 2017).

About Mary Anice Allen Arnp NPPES

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

MARY ANICE ALLEN ARNP (NPI 1164726915) is an individual family provider in Yakima, Washington, licensed in Washington (AP60620382) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164726915
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY ANICE ALLENCredential: ARNP
Location Address513 W WASHINGTON AVEYakima, WA 98903-1308
Mailing Address513 W Washington AveYakima, WA 98903-1308 · (509) 426-2033 · Fax (509) 816-4241
Phone(360) 426-2033
Fax(509) 816-4241
Sole ProprietorYes
Enumeration DateJanuary 7, 2011
Last NPPES UpdateMay 11, 20266 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1164726915 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
Licenses✔ Licensed in WA · AP60620382✔ Licensed in WA · RN00134324
513 W WASHINGTON AVE, Yakima, WA 98903
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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 Anice Allen Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Mary Allen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kittitas County Public Hosp Dist 1
29 mi
Specialist
100 E JACKSON AVE
Ellensburg, WA 98926
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Kittitas County Public Hospital Dist 1
  • 163 clinicians in this Medicare group
NPI 1376773002 (509) 962-5437
Sinuclear Washington PC
164 mi
Otolaryngology
100 N HOWARD ST # 5381
Spokane, WA 99201
  • Reassigned Medicare billing, Washington enrollment
  • 15 clinicians in this Medicare group
NPI 1386400463 (310) 927-0654

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
97 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98903 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

83.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.26
Promoting Interoperability80
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers12 claims240 services$7.75 avg. paid by Medicare
Stoma cap A5055
DME-Orthotic Devices · category DF010N
2 suppliers12 claims331 services$1.39 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209
DME-Medical/Surgical Supplies · category DA023N
2 suppliers16 claims243 services$7.26 avg. paid by Medicare
Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each A6545
DME-Medical/Surgical Supplies · category DA000N
2 suppliers18 claims25 services$82.31 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
1 supplier11 claims11 services$1,019.52 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

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

APPLE CREEK, INC.
Custodial Care Facility (Adult Care Home)
513 W WASHINGTON AVE
YAKIMA, WA 98903
Yakima County (509) 895-5623

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 Allen's NPI number?

The NPI number for Mary Allen is 1164726915. It was assigned to this individual provider in the NPPES registry on January 7, 2011.

Where is Mary Allen located?

Mary Allen practices at 513 W Washington Ave, Yakima, WA 98903. The listed phone number is (360) 426-2033.

What is Mary Allen's specialty?

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

Is Mary Allen enrolled in Medicare?

Yes. Mary Allen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Allen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Allen reassigns Medicare benefits to 2 organizations: Kittitas County Public Hosp Dist 1 (Ellensburg, WA) and Sinuclear Washington PC (Spokane, WA). Each 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 Allen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Allen accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mary Allen 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 Allen was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.