MARY PRIESTLY
NPI 1346807617
Physician Assistant in Traverse City, MI

Active since May 22, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
550 MUNSON AVE, TRAVERSE CITY, MI 49686(231) 935-8686 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 24, 2019, May 22, 2019 (2 updates tracked since 2019).

About Mary Priestly NPPES

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

MARY PRIESTLY (NPI 1346807617) is an individual physician assistant in Traverse City, Michigan and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1346807617
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY PRIESTLY
Location Address550 MUNSON AVETraverse City, MI 49686-3580
Mailing Address7079 Cherrywood CtTraverse City, MI 49686-1812 · (231) 463-1756
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 22, 2019
Last NPPES UpdateOctober 24, 20192 updates tracked since enumeration
NPI 1346807617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
550 MUNSON AVE, Traverse City, MI 49686

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 Priestly 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 ID4183959695
PECOS Enrollment IDI20190703002690
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.

Hospital Affiliations CMS Care Compare

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49686 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Psychiatry & Neurology (Neurology)
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Specialist
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Audiologist
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Physician Assistant
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Pharmacy (Long Term Care Pharmacy)
550 MUNSON AVE, SUITE G-100
TRAVERSE CITY, MI 49686
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Occupational Therapist
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Physician Assistant
550 MUNSON AVE
TRAVERSE CITY, MI 49686

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 Priestly's NPI number?

The NPI number for Mary Priestly is 1346807617. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Mary Priestly located?

Mary Priestly practices at 550 Munson Ave, Traverse City, MI 49686. The listed phone number is (231) 935-8686.

What is Mary Priestly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Priestly enrolled in Medicare?

Yes. Mary Priestly 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.

Is Mary Priestly affiliated with any hospitals?

According to CMS data, Mary Priestly is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Priestly was last updated on October 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.