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

Q: 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.

Q: What is Mary Loftis's specialty?

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

Q: 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 9 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 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: August 02, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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)