MARY MELINDA DENNIS APRN-CNP
NPI 1164831574
Nurse Practitioner - Family in Pauls Valley, OK

Q: What is Mary Dennis's NPI number?

The NPI number for Mary Dennis is 1164831574. It was assigned to this individual provider in the NPPES registry on August 11, 2014.

Q: What is Mary Dennis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Dennis was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 11, 2014PECOS EnrolledAccepts Medicare Assignment

105 N INDIAN MERIDIAN RD, PAULS VALLEY, OK 73075(405) 207-9800(405) 207-9898 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Melinda Dennis Aprn-cnp NPPES

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

MARY MELINDA DENNIS APRN-CNP (NPI 1164831574) is an individual family provider in Pauls Valley, Oklahoma, licensed in Oklahoma (89347) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164831574

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY MELINDA DENNISCredential: APRN-CNP

Location Address105 N INDIAN MERIDIAN RDPauls Valley, OK 73075-9236

Mailing Address105 N Indian Meridian RdPauls Valley, OK 73075-9236 · (405) 207-9800 · Fax (405) 207-9898

Phone(405) 207-9800

Fax(405) 207-9898

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 11, 2014

Last NPPES UpdateDecember 17, 2014

✔ NPI 1164831574 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 OK · 89347

105 N INDIAN MERIDIAN RD, Pauls Valley, OK 73075

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 Melinda Dennis Aprn-cnp 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 ID8921323429

PECOS Enrollment IDI20150204000445

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 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.

116 services77 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

32 services32 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.

27 services24 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370037

Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County

Emergency services Birthing friendly

Purcell Municipal Hospital

Acute Care Hospitals · Purcell, OK

OwnershipGovernment - Local

CMS Certification Number370158

Location2301 N 9th AvePurcell, OK 73080 · Mcclain County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73075 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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 6

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

MS. SHELLY RAE RUSSEFF APRN-CNP

Nurse Practitioner (Family)