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MARY LINDA BYNDOM FNP
NPI 1225013063
Nurse Practitioner - Family in Jackson, MO

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment
2130 JACKSON AVE, JACKSON, MO 63755(573) 243-2154(573) 243-3400 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Linda Byndom Fnp NPPES

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

MARY LINDA BYNDOM FNP (NPI 1225013063) is an individual family provider in Jackson, Missouri, licensed in Tennessee (20518) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1225013063
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY LINDA BYNDOMCredential: FNP
Location Address2130 JACKSON AVEJackson, MO 63755-1644
Mailing Address2846 Whitener St, Apt B4Cape Girardeau, MO 63701-8314 · (573) 334-2586
Phone(573) 243-2154
Fax(573) 243-3400
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 14, 2005
Last NPPES UpdateNovember 5, 2015
✔ NPI 1225013063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 20518
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN116998 (MO)
2130 JACKSON AVE, Jackson, MO 63755
Open in Google Maps ↗

Other Identifiers 1

Medicaid428312409MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Linda Byndom 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.

PECOS PAC ID3779520648
PECOS Enrollment IDI20250423001577
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 Byndom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Visiting Nurse Association Of Southeast Missouri Inc
80 mi
Family
1124 INDEPENDENCE AVE
Kennett, MO 63857
  • Reassigned Medicare billing, Missouri enrollment
  • 7 clinicians in this Medicare group
NPI 1295403202 (573) 888-5892
Wellstar Medical Group, LLC
349 mi
Family Medicine
12 MEDICAL DR NE
Cartersville, GA 30121
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1588059653 (770) 386-1000

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 63755 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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 Byndom's NPI number?

The NPI number for Mary Byndom is 1225013063. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Mary Byndom located?

Mary Byndom practices at 2130 Jackson Ave, Jackson, MO 63755. The listed phone number is (573) 243-2154.

What is Mary Byndom's specialty?

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

Is Mary Byndom enrolled in Medicare?

Yes. Mary Byndom 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.

Which organizations bill Medicare for Mary Byndom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Byndom reassigns Medicare benefits to 2 organizations: Visiting Nurse Association Of Southeast Missouri Inc (Kennett, MO) and Wellstar Medical Group, LLC (Cartersville, GA). 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 Byndom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Byndom accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Mary Byndom 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 Byndom was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.