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MRS. MARY HALL JAMES ARNP
NPI 1346311172
Nurse Practitioner - Family in Princeton, KY

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
323 S JEFFERSON ST STE C, PRINCETON, KY 42445(270) 365-2494(270) 365-2496 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Mary Hall James Arnp NPPES

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

MRS. MARY HALL JAMES ARNP (NPI 1346311172) is an individual family provider in Princeton, Kentucky, licensed in Kentucky (1048P) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Trigg County Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1346311172
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARY HALL JAMESCredential: ARNP
Location Address323 S JEFFERSON ST STE CPrinceton, KY 42445-2100
Mailing Address323 S Jefferson St Ste CPrinceton, KY 42445-2100 · (270) 365-2494 · Fax (270) 365-2496
Phone(270) 365-2494
Fax(270) 365-2496
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 13, 2006
Last NPPES UpdateJanuary 4, 2022
NPPES CertifiedJanuary 4, 2022
✔ NPI 1346311172 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 KY · 1048P
323 S JEFFERSON ST STE C, Princeton, KY 42445
Open in Google Maps ↗

Other Identifiers 1

Medicaid78000122KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Mrs. Mary Hall James Arnp 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 ID2769566769
PECOS Enrollment IDI20080229000244
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.

Areas of Expertise CMS Part B claims 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
230 services69 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.
30 services30 patients
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.
20 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trigg County Hospital

Critical Access Hospitals · Cadiz, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181304
Location254 Main StreetCadiz, KY 42211 · Trigg County
Emergency services

Caldwell Medical Center

Critical Access Hospitals · Princeton, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181322
Location100 Medical Center DrivePrinceton, KY 42445 · Caldwell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42445 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.

Referred Medical Equipment & Supplies CMS DME claims

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 suppliers19 claims37 services$4.04 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

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

MAANYA LLC
Internal Medicine
323 S JEFFERSON ST STE C
PRINCETON, KY 42445
Caldwell County (270) 350-4504

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 James's NPI number?

The NPI number for Mary James is 1346311172. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Mary James located?

Mary James practices at 323 S Jefferson St Ste C, Princeton, KY 42445. The listed phone number is (270) 365-2494.

What is Mary James's specialty?

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

Is Mary James enrolled in Medicare?

Yes. Mary James 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.

What insurance does Mary James accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Mary James 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.

Is Mary James affiliated with any hospitals?

According to CMS data, Mary James is affiliated with Trigg County Hospital and Caldwell Medical Center.

When was this NPI record last updated?

The NPPES record for Mary James was last updated on January 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.