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MARY ELIZABETH PROCTOR NP
NPI 1417091083
Nurse Practitioner - Obstetrics & Gynecology in Van Nuys, CA

Active since February 16, 2007PECOS Enrolled
7232 VAN NUYS BLVD STE 101, VAN NUYS, CA 91405(818) 785-1890(818) 785-1922 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Elizabeth Proctor Np NPPES

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

MARY ELIZABETH PROCTOR NP (NPI 1417091083) is an individual obstetrics & gynecology provider in Van Nuys, California, licensed in California (451796) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417091083
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameMARY ELIZABETH PROCTORCredential: NP
Location Address7232 VAN NUYS BLVD STE 101Van Nuys, CA 91405-2231
Mailing Address7232 Van Nuys Blvd Ste 101Van Nuys, CA 91405-2231 · (818) 785-1890 · Fax (818) 785-1922
Phone(818) 785-1890
Fax(818) 785-1922
Sole ProprietorNo
Enumeration DateFebruary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417091083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in CA · 451796
7232 VAN NUYS BLVD STE 101, Van Nuys, CA 91405
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Elizabeth Proctor Np 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.

Medicare Billing Reassignment

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

Northeast Valley Health Corporation
0.1 mi
Federally Qualified Health Center (FQHC)
7138 VAN NUYS BLVD
Van Nuys, CA 91405
  • Reassigned Medicare billing, California enrollment
  • 218 clinicians in this Medicare group
NPI 1093716474 (818) 778-6240

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91405 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 3

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

PAYMAN PAUL JOSEPH M.D.
Obstetrics & Gynecology (Obstetrics)
7232 VAN NUYS BLVD STE 101
VAN NUYS, CA 91405
Los Angeles County (818) 785-1890
PAYMAN P. JOSEPH MD, A.P.C.
Obstetrics & Gynecology
7232 VAN NUYS BLVD STE 101
VAN NUYS, CA 91405
Los Angeles County (818) 785-1890
ASTER BELETE NP
Nurse Practitioner (Obstetrics & Gynecology)
7232 VAN NUYS BLVD STE 101
VAN NUYS, CA 91405
Los Angeles County (818) 785-1890

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 Proctor's NPI number?

The NPI number for Mary Proctor is 1417091083. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Mary Proctor located?

Mary Proctor practices at 7232 Van Nuys Blvd Ste 101, Van Nuys, CA 91405. The listed phone number is (818) 785-1890.

What is Mary Proctor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Mary Proctor enrolled in Medicare?

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

Which organization bills Medicare for Mary Proctor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Proctor reassigns Medicare benefits to Northeast Valley Health Corporation (Van Nuys, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Proctor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Proctor was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.