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MRS. MARY ANNE LOFTIS FNP-C
NPI 1417294828
Nurse Practitioner - Family in Mount Vernon, MO

Active since January 07, 2013PECOS Enrolled
1011 S EAST ST, MOUNT VERNON, MO 65712(417) 466-7191(417) 466-3876 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Mary Anne Loftis Fnp-c NPPES

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

MRS. MARY ANNE LOFTIS FNP-C (NPI 1417294828) is an individual family provider in Mount Vernon, Missouri, licensed in Missouri (2013000293) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417294828
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARY ANNE LOFTISCredential: FNP-C
Location Address1011 S EAST STMount Vernon, MO 65712-1331
Mailing Address1011 S East StMount Vernon, MO 65712-1331 · (417) 466-7191 · Fax (417) 466-3876
Phone(417) 466-7191
Fax(417) 466-3876
Sole ProprietorYes
Enumeration DateJanuary 7, 2013
Last NPPES UpdateSeptember 13, 2016
✔ NPI 1417294828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2013000293
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 1417294828 (MO)
1011 S EAST ST, Mount Vernon, MO 65712
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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)

Mrs. Mary Anne Loftis Fnp-c 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 Loftis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinic Springfield Communities
19 mi
Rural Health
332 S MAIN AVE
Republic, MO 65738
  • Reassigned Medicare billing, Missouri enrollment
  • 1,487 clinicians in this Medicare group
NPI 1962534727 (417) 732-5050

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 65712 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.

Other Providers at the Same Location NPPES 6

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

MS. CARLA JOYCE HALL M.S., L.P.C.
Counselor (Professional)
1011 S EAST ST
MOUNT VERNON, MO 65712
Lawrence County (417) 678-7900
CHERYL G WILLIAMS DO PC
Clinic/Center (Rural Health)
1011 S EAST ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-7191
DR. CHERYL G WILLIAMS D.O.
Family Medicine
1011 S EAST ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-7191
DR. TONJIA LOUISE HARDESTY DNP
Nurse Practitioner (Family)
1011 S EAST ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-7191
MRS. NANCY E SMITH-LEACH N.P.
Nurse Practitioner (Family)
1011 S EAST ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-7191
RAMONDA LYNN DUGAS NP
Nurse Practitioner (Family)
1011 S EAST ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-7191

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 Loftis's NPI number?

The NPI number for Mary Loftis is 1417294828. It was assigned to this individual provider in the NPPES registry on January 7, 2013.

Where is Mary Loftis located?

Mary Loftis practices at 1011 S East St, Mount Vernon, MO 65712. The listed phone number is (417) 466-7191.

What is Mary Loftis's specialty?

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

Is Mary Loftis enrolled in Medicare?

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

Which organization bills Medicare for Mary Loftis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Loftis reassigns Medicare benefits to Mercy Clinic Springfield Communities (Republic, MO). 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 Loftis'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 Loftis was last updated on September 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.