MARY A MCCULLOUGH ANP
NPI 1396896510
Nurse Practitioner - Adult Health in Ste Genevieve, MO

Q: What is Mary Mccullough's NPI number?

The NPI number for Mary Mccullough is 1396896510. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Q: What is Mary Mccullough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Mccullough was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since January 15, 2007PECOS Enrolled

753 POINTE BASSE DR, STE GENEVIEVE, MO 63670(573) 883-4477(573) 883-4472 Get Directions Write a Review

NPPES record last updated: April 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary A Mccullough Anp NPPES

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

MARY A MCCULLOUGH ANP (NPI 1396896510) is an individual adult health provider in Ste Genevieve, Missouri, licensed in Missouri (RN097885) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396896510

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMARY A MCCULLOUGHCredential: ANP

Location Address753 POINTE BASSE DRSte Genevieve, MO 63670-1820

Mailing AddressPo Box 366Ste Genevieve, MO 63670-0366 · (573) 883-4477 · Fax (573) 883-4472

Phone(573) 883-4477

Fax(573) 883-4472

Sole ProprietorNo

Enumeration DateJanuary 15, 2007

Last NPPES UpdateApril 18, 2013

✔ NPI 1396896510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MO · RN097885

753 POINTE BASSE DR, Ste Genevieve, MO 63670

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Other Identifiers 3

Medicare OSCAR/certification141930004MO

OtherCC8331MO · Rr Medicare

Medicaid591649108MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary A Mccullough Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63670 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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Other Providers at the Same Location NPPES 9

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

JARED R ARNETT PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

753 POINTE BASSE DR
STE GENEVIEVE, MO 63670

Ste. Genevieve County (573) 883-2782

HUNTER ELIJAH WADLOW

Nurse Practitioner

753 POINTE BASSE DR
SAINTE GENEVIEVE, MO 63670

Ste. Genevieve County (573) 883-2782

MRS. BRANDIE L FILER LCSW

Social Worker (Clinical)

753 POINTE BASSE DR
STE GENEVIEVE, MO 63670

Ste. Genevieve County (573) 883-2782

MR. DAN FRISSELL MD

Family Medicine

753 POINTE BASSE DR
STE GENEVIEVE, MO 63670

Ste. Genevieve County (573) 883-2782

MRS. JOANN UDING FNP

Nurse Practitioner (Family)

753 POINTE BASSE DR
STE GENEVIEVE, MO 63670

Ste. Genevieve County (573) 883-2782

STE GENEVIEVE COUNTY MEMORIAL HOSPITAL

Clinic/Center

753 POINTE BASSE DR
STE GENEVIEVE, MO 63670

Ste. Genevieve County (573) 883-2782

SHARON A GRASS FNP

Family Medicine

753 POINTE BASSE DR
STE GENEVIEVE, MO 63670

Ste. Genevieve County (573) 883-4477

STE GENEVIEVE COUNTY MEMORIAL HOSPITAL

Clinic/Center (Rural Health)

753 POINTE BASSE DR
STE GENEVIEVE, MO 63670

Ste. Genevieve County (573) 883-2782

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 Mccullough's NPI number?

The NPI number for Mary Mccullough is 1396896510. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Mary Mccullough located?

Mary Mccullough practices at 753 Pointe Basse Dr, Ste Genevieve, MO 63670. The listed phone number is (573) 883-4477.

What is Mary Mccullough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mary Mccullough enrolled in Medicare?

Yes. Mary Mccullough is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Mccullough was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.