MRS. MARY ALICE MODDERS FNP
NPI 1215241682
Nurse Practitioner - Family in Los Angeles, CA
About Mrs. Mary Alice Modders Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY ALICE MODDERS FNP (NPI 1215241682) is an individual family provider in Los Angeles, California, licensed in California (19349) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Mary Alice Modders Fnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
LOS ANGELES, CA 90048
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 Modders's NPI number?
The NPI number for Mary Modders is 1215241682. It was assigned to this individual provider in the NPPES registry on July 28, 2010.
Where is Mary Modders located?
Mary Modders practices at 8635 W 3rd St Suite 795, Los Angeles, CA 90048. The listed phone number is (310) 423-8350.
What is Mary Modders's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Modders enrolled in Medicare?
Yes. Mary Modders 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 Modders was last updated on April 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mrs. Mary Alice Modders, FNP · NPI 1215241682
Family physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 28, 2010.
## Identity
- **NPI:** 1215241682 (Entity type: Individual)
- **Enumerated:** July 28, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 19349 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8635 W 3RD ST, SUITE 795, Los Angeles, CA 90048-6101
- **Phone:** (310) 423-8350
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** April 21, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1215241682) · Data from the CMS NPPES public registry.