MARY VAUGHN DNP, FNP-C, PMHNP-C
NPI 1497164446
Nurse Practitioner - Psychiatric/Mental Health in Columbus, MS
About Mary Vaughn Dnp, Fnp-c, Pmhnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY VAUGHN DNP, FNP-C, PMHNP-C (NPI 1497164446) is an individual psychiatric/mental health provider in Columbus, Mississippi, licensed in Mississippi (2024043303) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Accepted 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 Vaughn Dnp, Fnp-c, Pmhnp-c 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.
Medicare Billing Reassignments
5Medicare enrollment records show Mary Vaughn reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, MS 39702
- Reassigned Medicare billing, Mississippi enrollment
- 45 clinicians in this Medicare group
Kilmichael, MS 39747
- Reassigned Medicare billing, Mississippi enrollment
- 14 clinicians in this Medicare group
Grenada, MS 38901
- Reassigned Medicare billing, Mississippi enrollment
- 14 clinicians in this Medicare group
Grenada, MS 38901
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Jackson, MS 39202
- Reassigned Medicare billing, Mississippi enrollment
- 154 clinicians in this Medicare group
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 39705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Vaughn's NPI number?
The NPI number for Mary Vaughn is 1497164446. It was assigned to this individual provider in the NPPES registry on August 4, 2014. The provider is also known as Mary Jackson Fnp-C.
Where is Mary Vaughn located?
Mary Vaughn practices at 3600 Bluecutt Rd Ste 201, Columbus, MS 39705. The listed phone number is (662) 329-3973.
What is Mary Vaughn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mary Vaughn enrolled in Medicare?
Yes. Mary Vaughn 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 organizations bill Medicare for Mary Vaughn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Vaughn reassigns Medicare benefits to 5 organizations: Dutch Medical Clinics, Inc (Columbus, MS), Tyler Holmes Memorial Hospital (Kilmichael, MS), Rapid Track Urgent Care LLC (Grenada, MS), State Of Mississippi-University Of Mississippi Medical Center (Grenada, MS) and Mississippi Baptist Medical Center, Inc. (Jackson, MS). Each 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 Vaughn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Vaughn accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Mary Vaughn 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 Vaughn was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mary Vaughn, DNP, FNP-C, PMHNP-C · NPI 1497164446
Psychiatric/Mental Health physician in Columbus, Mississippi. Individual provider, active in the CMS NPPES registry since August 4, 2014.
## Identity
- **NPI:** 1497164446 (Entity type: Individual)
- **Enumerated:** August 4, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2024043303 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 3600 BLUECUTT RD STE 201, Columbus, MS 39705-1397
- **Phone:** (662) 329-3973 · **Fax:** (662) 329-9056
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Dutch Medical Clinics, Inc (NPI 1215276175, Columbus, MS); Tyler Holmes Memorial Hospital (NPI 1346084985, Kilmichael, MS); Rapid Track Urgent Care LLC (NPI 1003529652, Grenada, MS); State Of Mississippi-University Of Mississippi Medical Center (NPI 1932538527, Grenada, MS); Mississippi Baptist Medical Center, Inc. (NPI 1467589556, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497164446) · Data from the CMS NPPES public registry.