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MARY SUMNER
NPI 1467195131
Nurse Practitioner in Burlington, NC

Active since April 19, 2022PECOS EnrolledAccepts Medicare Assignment
3128 COMMERCE PL, BURLINGTON, NC 27215(336) 270-4894(336) 270-4976 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 15, 2026, Apr 19, 2022 (2 updates tracked since 2022).

About Mary Sumner NPPES

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

MARY SUMNER (NPI 1467195131) is an individual nurse practitioner in Burlington, North Carolina, licensed in North Carolina (247433) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467195131
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY SUMNER
Location Address3128 COMMERCE PLBurlington, NC 27215-5157
Mailing Address302 Earl DrElon, NC 27244-8310
Phone(336) 270-4894
Fax(336) 270-4976
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 19, 2022
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1467195131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 247433
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3128 COMMERCE PL, Burlington, NC 27215
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Sumner 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 ID6800335647
PECOS Enrollment IDI20241120002370
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 Sumner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Preferred Primary Care, PLLC
Same address
Family
3128 COMMERCE PL
Burlington, NC 27215
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1700329497 (336) 270-4894

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 27215 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

ARMC PHYSICIANS CARE, INC.
Family Medicine
3128 COMMERCE PL
BURLINGTON, NC 27215
Alamance County (336) 584-5163
CHERYL PAULETTE LINDLEY FNP
Nurse Practitioner (Family)
3128 COMMERCE PL
BURLINGTON, NC 27215
Alamance County (336) 270-4894
PREFERRED PRIMARY CARE, PLLC
Nurse Practitioner (Family)
3128 COMMERCE PL
BURLINGTON, NC 27215
Alamance County (336) 270-4894

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 Sumner's NPI number?

The NPI number for Mary Sumner is 1467195131. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Mary Sumner located?

Mary Sumner practices at 3128 Commerce Pl, Burlington, NC 27215. The listed phone number is (336) 270-4894.

What is Mary Sumner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Sumner enrolled in Medicare?

Yes. Mary Sumner 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.

Which organization bills Medicare for Mary Sumner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Sumner reassigns Medicare benefits to Preferred Primary Care, PLLC (Burlington, NC). 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 Sumner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Sumner accept?

Health plans from Blue Cross and Blue Shield of NC list Mary Sumner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Sumner was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.