MS. MARY CORDELLIA DWYER APRN- BC
NPI 1255808747
Nurse Practitioner - Psychiatric/Mental Health in Greenville, KY

Q: What is Mary Dwyer's NPI number?

The NPI number for Mary Dwyer is 1255808747. It was assigned to this individual provider in the NPPES registry on November 1, 2018.

Q: What is Mary Dwyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Mary Dwyer was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since November 01, 2018PECOS EnrolledAccepts Medicare Assignment

228 HOPKINSVILLE ST, GREENVILLE, KY 42345(270) 377-3077(270) 377-3002 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 11, 2025, Mar 31, 2020, Jul 2, 2019 and 3 more (6 updates tracked since 2018).

On this page

About Ms. Mary Cordellia Dwyer Aprn- Bc NPPES

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

MS. MARY CORDELLIA DWYER APRN- BC (NPI 1255808747) is an individual psychiatric/mental health provider in Greenville, Kentucky, licensed in Kentucky (3012846) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255808747

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. MARY CORDELLIA DWYERCredential: APRN- BC

Location Address228 HOPKINSVILLE STGreenville, KY 42345-1214

Mailing Address480 Hopkinsville StGreenville, KY 42345-1124 · (270) 338-5777 · Fax (270) 338-5765

Phone(270) 377-3077

Fax(270) 377-3002

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 1, 2018

Last NPPES UpdateFebruary 11, 20256 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2025

✔ NPI 1255808747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in KY · 3012846

228 HOPKINSVILLE ST, Greenville, KY 42345

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Ms. Mary Cordellia Dwyer Aprn- Bc 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 ID8123363140

PECOS Enrollment IDI20181219003573

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 Reassignment

Medicare enrollment records show Mary Dwyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Centers Of Western Kentucky Inc

Same address

Obstetrics & Gynecology

226 HOPKINSVILLE ST
Greenville, KY 42345

Reassigned Medicare billing, Kentucky enrollment
29 clinicians in this Medicare group

NPI 1376088930 (270) 377-3077

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

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.

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

32 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42345 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))