MARY J. COLLINS APRN
NPI 1538595111
Nurse Practitioner - Family in Whitesburg, KY

Active since September 16, 2013PECOS EnrolledAccepts Medicare Assignment
226 MEDICAL PLAZA LN, WHITESBURG, KY 41858(606) 633-4871(606) 633-0883 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary J. Collins Aprn NPPES

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

MARY J. COLLINS APRN (NPI 1538595111) is an individual family provider in Whitesburg, Kentucky, licensed in Kentucky (3008031) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Whitesburg Arh Hospital, and maintains a secondary practice location in Hazard.

NPPES Registry Identity

NPI1538595111
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY J. COLLINSCredential: APRN
Location Address226 MEDICAL PLAZA LNWhitesburg, KY 41858-7425
Mailing AddressPo Box 40Whitesburg, KY 41858-0040 · (606) 633-4823
Fax(606) 633-0883
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 16, 2013
Last NPPES UpdateMay 5, 2021
NPPES CertifiedMay 5, 2021
NPI 1538595111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3008031
226 MEDICAL PLAZA LN, Whitesburg, KY 41858

Secondary Practice Location 1

Location 1101 Town and Country Ln, Suite100Hazard, KY 41701-9524 · Phone (606) 439-1300 · Fax (606) 439-1400

Other Identifiers 1

Medicaid7100258810KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary J. Collins Aprn 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 ID1052545563
PECOS Enrollment IDI20131015001931
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
58 services41 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
56 services42 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
54 services38 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250
This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.
37 services37 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Whitesburg Arh Hospital

Acute Care Hospitals · Whitesburg, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180002
Location240 Hospital RoadWhitesburg, KY 41858 · Letcher County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41858 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers18 claims25 services$3.47 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims13 services$0.70 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers109 claims109 services$181.51 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
5 suppliers11 claims11 services$197.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Pharmacy (Community/Retail Pharmacy)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Obstetrics & Gynecology
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Internal Medicine (Pulmonary Disease)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Counselor (Professional)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Nurse Practitioner (Family)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Nurse Practitioner (Family)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Pediatrics
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Nurse Practitioner (Family)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858

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 Collins's NPI number?

The NPI number for Mary Collins is 1538595111. It was assigned to this individual provider in the NPPES registry on September 16, 2013.

Where is Mary Collins located?

Mary Collins practices at 226 Medical Plaza Ln, Whitesburg, KY 41858. The listed phone number is (606) 633-4871.

What is Mary Collins's specialty?

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

Is Mary Collins enrolled in Medicare?

Yes. Mary Collins 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.

What insurance does Mary Collins accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Mary Collins 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.

Is Mary Collins affiliated with any hospitals?

According to CMS data, Mary Collins is affiliated with Whitesburg Arh Hospital.

When was this NPI record last updated?

The NPPES record for Mary Collins was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.