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MARY R CHMELIK ARNP
NPI 1194743757
Nurse Practitioner - Pediatrics in Tacoma, WA

Active since July 18, 2006Opted out of Medicare · through Oct 1, 2026

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary R Chmelik Arnp NPPES

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

MARY R CHMELIK ARNP (NPI 1194743757) is an individual pediatrics provider in Tacoma, Washington, licensed in Washington (AP 30005436) and active in the NPI registry since July 2006. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194743757
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY R CHMELIKCredential: ARNP
Location Address311 S L STTacoma, WA 98405-3720
Mailing Address311 S L StTacoma, WA 98405-3720 · (253) 403-1449
Phone(253) 403-1449
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1194743757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in WA · AP 30005436
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP30005436 (WA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP30005436 (WA)
311 S L ST, Tacoma, WA 98405
Open in Google Maps ↗

Other Identifiers 2

OtherAP 30005436WA · Professional License
Medicaid9625179WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mary R Chmelik Arnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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.

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.

BRADLEY STANTON HOOD M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
311 S L ST
TACOMA, WA 98405
Pierce County (253) 403-1540
BARBARA KERRONE R.D., C.D.
Dietitian, Registered (Nutrition, Pediatric)
311 S L ST, MAILSTOP 311-W3-GI
TACOMA, WA 98405
Pierce County (253) 403-4581
SHAWN M JOHNSON
Speech-Language Pathologist
311 S L ST
TACOMA, WA 98405
Pierce County (253) 403-1040
MULTICARE HEALTH SYSTEM
Pediatrics
311 S L ST
TACOMA, WA 98405
Pierce County (253) 403-1444
VANESSA PINEROS TOLBERT MD
Pediatrics (Pediatric Hematology-Oncology)
311 S L ST
TACOMA, WA 98405
Pierce County (253) 403-3481
TYRA MARIE HALVERSON RD
Dietitian, Registered
311 S L ST
TACOMA, WA 98405
Pierce County (253) 403-3131
JULIE M SIMON
Genetic Counselor, MS
311 S L ST
TACOMA, WA 98405
Pierce County (253) 403-3473
ERIN MICHELE LIND C.D., R.D.
Dietitian, Registered (Nutrition, Pediatric)
311 S L ST
TACOMA, WA 98405
Pierce County (253) 403-4528

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 Chmelik's NPI number?

The NPI number for Mary Chmelik is 1194743757. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Mary Chmelik located?

Mary Chmelik practices at 311 S L St, Tacoma, WA 98405. The listed phone number is (253) 403-1449.

What is Mary Chmelik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Mary Chmelik enrolled in Medicare?

No. Mary Chmelik has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mary Chmelik accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Mary Chmelik 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 Chmelik was last updated on March 7, 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.