MRS. MARY ELIZABETH TULLOS NP-C
NPI 1639339682
Nurse Practitioner - Family in Southaven, MS

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
3451 GOODMAN RD E STE 115, SOUTHAVEN, MS 38672(662) 890-5555(662) 890-8899 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2023, Oct 31, 2018 (2 updates tracked since 2018).

About Mrs. Mary Elizabeth Tullos Np-c NPPES

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

MRS. MARY ELIZABETH TULLOS NP-C (NPI 1639339682) is an individual family provider in Southaven, Mississippi, licensed in Mississippi (869304) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1639339682
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARY ELIZABETH TULLOSCredential: NP-C
Location Address3451 GOODMAN RD E STE 115Southaven, MS 38672-9304
Mailing Address3451 Goodman Rd E Ste 115Southaven, MS 38672-9304 · (662) 890-5555 · Fax (662) 890-8899
Fax(662) 890-8899
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 12, 2008
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
NPI 1639339682 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
Licenses Licensed in MS · 869304 Licensed in MS · R869304
Also ListedNurse PractitionerTaxonomy 363L00000X · License 13240 (TN)
3451 GOODMAN RD E STE 115, Southaven, MS 38672

Secondary Practice Location 1

Location 15220 Park Ave Ste 150Memphis, TN 38119-3548 · Phone (901) 755-2255 · Fax (901) 755-9566

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

Mrs. Mary Elizabeth Tullos Np-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.

PECOS PAC ID6608906607
PECOS Enrollment IDI20100618000242
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 36

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
682 services391 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
530 services321 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
374 services264 patients
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.
355 services237 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
226 services176 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
218 services172 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Methodist Healthcare - Olive Branch Hospital

Acute Care Hospitals · Olive Branch, MS
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250167
Location4250 Bethel RoadOlive Branch, MS 38654 · De Soto County
Emergency services Birthing friendly

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38672 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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

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
10 suppliers19 claims41 services$5.85 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 6

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

Family Medicine
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672
Nurse Practitioner (Family)
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672
Internal Medicine
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672
Nurse Practitioner
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672
Nurse Practitioner (Family)
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672
Nurse Practitioner (Family)
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672

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 Tullos's NPI number?

The NPI number for Mary Tullos is 1639339682. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Mary Tullos located?

Mary Tullos practices at 3451 Goodman Rd E Ste 115, Southaven, MS 38672. The listed phone number is (662) 890-5555.

What is Mary Tullos's specialty?

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

Is Mary Tullos enrolled in Medicare?

Yes. Mary Tullos 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 Tullos accept?

Health plans from UnitedHealthcare list Mary Tullos 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 Tullos affiliated with any hospitals?

According to CMS data, Mary Tullos is affiliated with Baptist Memorial Hospital Desoto, Methodist Healthcare - Olive Branch Hospital and Baptist Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mary Tullos was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.