MARY SPRING FNP-C
NPI 1174209266
Nurse Practitioner - Family in San Diego, CA
About Mary Spring Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY SPRING FNP-C (NPI 1174209266) is an individual family provider in San Diego, California, licensed in California (95025399) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Spring Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Spring reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 41 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Spring's NPI number?
The NPI number for Mary Spring is 1174209266. It was assigned to this individual provider in the NPPES registry on June 23, 2023.
Where is Mary Spring located?
Mary Spring practices at 1945 Garnet Ave, San Diego, CA 92109. The listed phone number is (858) 224-7977.
What is Mary Spring's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Spring enrolled in Medicare?
Yes. Mary Spring is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Spring's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Spring reassigns Medicare benefits to Sd Sports Medicine And Family Health Center (San Diego, CA). The 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 Spring's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Spring was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mary Spring, FNP-C · NPI 1174209266
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since June 23, 2023.
## Identity
- **NPI:** 1174209266 (Entity type: Individual)
- **Enumerated:** June 23, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95025399 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1945 GARNET AVE, San Diego, CA 92109-3595
- **Phone:** (858) 224-7977
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sd Sports Medicine And Family Health Center (NPI 1669472510, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174209266) · Data from the CMS NPPES public registry.