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MARY ANN PASTERNACKI RN, FNP-C
NPI 1275690331
Nurse Practitioner - Family in Flagstaff, AZ

Active since January 01, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 03D2110608 · Waiver
72.77/100
CMS Quality Rating
1016 W UNIVERSITY AVE, STE 206, FLAGSTAFF, AZ 86001(928) 266-1530(928) 266-1531 Get Directions Write a Review

NPPES record last updated: October 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2016, Mar 16, 2016 (2 updates tracked since 2016).

About Mary Ann Pasternacki Rn, Fnp-c NPPES

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

MARY ANN PASTERNACKI RN, FNP-C (NPI 1275690331) is an individual family provider in Flagstaff, Arizona, licensed in Arizona (AZ0647) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 20, 2028, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1275690331
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY ANN PASTERNACKICredential: RN, FNP-C
Location Address1016 W UNIVERSITY AVE, STE 206Flagstaff, AZ 86001-2994
Mailing Address1016 W University Ave, Ste 206Flagstaff, AZ 86001-2996 · (928) 266-1530 · Fax (928) 683-4674
Phone(928) 266-1530
Fax(928) 266-1531
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 1, 2007
Last NPPES UpdateOctober 2, 20162 updates tracked since enumeration
✔ NPI 1275690331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AZ0647
1016 W UNIVERSITY AVE, Flagstaff, AZ 86001
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINP17611AZ

Accepted Insurance

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

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

Mary Ann Pasternacki Rn, Fnp-c 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 ID840258232
PECOS Enrollment IDI20050103000211
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2110608

Mary Pasternacki Family Healthcare, PLLC · Flagstaff, AZ
Active · expires Mar 20, 2028
CLIA Number03D2110608
Laboratory TypePractitioner Other
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorMary A. Pasternacki
Laboratory Phone(928) 266-1530
Laboratory LocationMary Pasternacki Family Healthcare, PLLC1016 W University Ave, Ste 206, Flagstaff, AZ 86001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
270 services119 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
186 services104 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
109 services109 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
108 services108 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
96 services96 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
89 services89 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

72.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.61
Promoting Interoperability37
Improvement Activities40
Cost71.13

Reported Quality Measures

Breast Cancer Screening
84%232 patients4/55-star benchmark: 93%
Colorectal Cancer Screening
90%357 patients5/55-star benchmark: 88%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
8%25 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%1,241 patients4/55-star benchmark: 100%
e-Prescribing
100%2,952 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
82%403 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 93% · 309 patients
93%309 patients
Provide Patients Electronic Access to Their Health Information
1%52,344 patients1/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
0%498 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers11 claims34 services$6.09 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$15.15 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims19 services$5.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$82.91 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier17 claims990 services$4.63 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier14 claims810 services$6.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

ANGELA LYNN KEITH PHD, LPC
Psychologist (Counseling)
1016 W UNIVERSITY AVE, SUITE 202
FLAGSTAFF, AZ 86001
Coconino County (928) 773-7774
ANNE R CUNNINGHAM MC, LPC, LISAC
Counselor (Professional)
1016 W UNIVERSITY AVE, STE 202
FLAGSTAFF, AZ 86001
Coconino County (928) 774-1121
SWITZER MEDICAL INC
Physical Medicine & Rehabilitation
1016 W UNIVERSITY AVE, SUITE 201
FLAGSTAFF, AZ 86001
Coconino County (928) 714-7090
ADHD CLINICS OF ARIZONA
Clinic/Center (Adolescent and Children Mental Health)
1016 W UNIVERSITY AVE, 202
FLAGSTAFF, AZ 86001
Coconino County (928) 773-7774
CONSTANCE M CORDAIN LMFT
Marriage & Family Therapist
1016 W UNIVERSITY AVE, #209
FLAGSTAFF, AZ 86001
Coconino County (928) 774-0954
AUBREY N SKAGGS LPC
Counselor (Professional)
1016 W UNIVERSITY AVE
FLAGSTAFF, AZ 86001
Coconino County (602) 730-6267
MARY PASTERNACKI FAMILY HEALTHCARE
Family Medicine
1016 W UNIVERSITY AVE, SUITE 206
FLAGSTAFF, AZ 86001
Coconino County (928) 266-1530

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 Pasternacki's NPI number?

The NPI number for Mary Pasternacki is 1275690331. It was assigned to this individual provider in the NPPES registry on January 1, 2007.

Where is Mary Pasternacki located?

Mary Pasternacki practices at 1016 W University Ave Ste 206, Flagstaff, AZ 86001. The listed phone number is (928) 266-1530.

What is Mary Pasternacki's specialty?

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

Is Mary Pasternacki enrolled in Medicare?

Yes. Mary Pasternacki 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.

Does Mary Pasternacki hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2110608) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mary Pasternacki accept?

Health plans from Blue Cross Blue Shield of Arizona list Mary Pasternacki 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 Pasternacki was last updated on October 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.