MARY ELY N.P.
NPI 1225074495
Nurse Practitioner - Family in Springfield, IL
About Mary Ely N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ELY N.P. (NPI 1225074495) is an individual family provider in Springfield, Illinois, licensed in Illinois (277000332) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains a secondary practice location in Rochester.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Ely N.p. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mary Ely reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, IL 62711
- Reassigned Medicare billing, Illinois enrollment
- 28 clinicians in this Medicare group
Springfield, IL 62704
- Reassigned Medicare billing, Illinois enrollment
- 150 clinicians in this Medicare group
Mt Zion, IL 62549
- Reassigned Medicare billing, Illinois enrollment
- 6 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.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Johns Hospital
Acute Care Hospitals · Springfield, ILMemorial Medical Center
Acute Care Hospitals · Springfield, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62711 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.
SPRINGFIELD, IL 62711
SPRINGFIELD, IL 62711
SPRINGFIELD, IL 62711
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 Ely's NPI number?
The NPI number for Mary Ely is 1225074495. It was assigned to this individual provider in the NPPES registry on June 22, 2006.
Where is Mary Ely located?
Mary Ely practices at 1301 S Koke Mill Rd, Springfield, IL 62711. The listed phone number is (217) 547-9100.
What is Mary Ely's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Ely enrolled in Medicare?
Yes. Mary Ely 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 Ely's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ely reassigns Medicare benefits to 3 organizations: Orthopaedic Center Of Il (Springfield, IL), Memorial Physician Services (Springfield, IL) and Dolly Briscoe Enterprises, Inc. (Mt Zion, IL). 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 Ely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mary Ely affiliated with any hospitals?
According to CMS data, Mary Ely is affiliated with St Johns Hospital and Memorial Medical Center.
When was this NPI record last updated?
The NPPES record for Mary Ely was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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 Ely, N.P. · NPI 1225074495
Family physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since June 22, 2006.
## Identity
- **NPI:** 1225074495 (Entity type: Individual)
- **Enumerated:** June 22, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 277000332 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1301 S KOKE MILL RD, Springfield, IL 62711-9252
- **Phone:** (217) 547-9100 · **Fax:** (217) 547-9236
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Orthopaedic Center Of Il (NPI 1154300572, Springfield, IL); Memorial Physician Services (NPI 1174877930, Springfield, IL); Dolly Briscoe Enterprises, Inc. (NPI 1447555685, Mt Zion, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** September 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225074495) · Data from the CMS NPPES public registry.