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MARY COLBURN APRN
NPI 1679066948
Nurse Practitioner - Family in Wallingford, CT

Active since June 12, 2018PECOS Enrolled
850 N MAIN STREET EXT, WALLINGFORD, CT 06492(203) 626-4203(203) 626-1624 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2025, Nov 14, 2025, Sep 19, 2025 and 3 more (6 updates tracked since 2018).

About Mary Colburn Aprn NPPES

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

MARY COLBURN APRN (NPI 1679066948) is an individual family provider in Wallingford, Connecticut, licensed in Connecticut (007605) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679066948
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY COLBURNCredential: APRN
Location Address850 N MAIN STREET EXTWallingford, CT 06492-2400
Mailing Address850 N Main Street ExtWallingford, CT 06492-2400 · (203) 626-4203 · Fax (203) 626-1624
Phone(203) 626-4203
Fax(203) 626-1624
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 12, 2018
Last NPPES UpdateDecember 16, 20256 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1679066948 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 CT · 007605
850 N MAIN STREET EXT, Wallingford, CT 06492
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Colburn Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597018606
PECOS Enrollment IDI20181018002720
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 Reassignments

4

Medicare enrollment records show Mary Colburn reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alleviate Pain And Wellness
1.5 mi
Family
850 N MAIN STREET EXT STE 2C
Wallingford, CT 06492
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1073407037 (203) 619-1722
Tptc-Nh, LLC
13 mi
Family
136 SHERMAN AVENUE, LOWER LEVEL
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 6 clinicians in this Medicare group
NPI 1265144935 (203) 565-5104
Wheeler Clinic Inc
16 mi
Mental Health (Including Community Mental Health Center)
91 NORTHWEST DRIVE
Plainville, CT 06062
  • Reassigned Medicare billing, Connecticut enrollment
  • 217 clinicians in this Medicare group
NPI 1396750840 (888) 793-3500
Matrix Medical Plus
837 mi
Nurse Practitioner
424 CHURCH ST STE 2600
Nashville, TN 37219
  • Reassigned Medicare billing, Connecticut enrollment
  • 79 clinicians in this Medicare group
NPI 1376973461 (877) 564-3627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
475 services89 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
396 services86 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
61 services47 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
41 services41 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06492 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 20

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

ANATOLY BRAYLOVSKY MD
Internal Medicine
850 N MAIN STREET EXT, BUILDING 2 SUITE 1B
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 269-4200
HENRY BEAR HOFBAUER M.D.
Internal Medicine
850 N MAIN STREET EXT, BUILDING 2, SUITE C3
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 265-6522
CONNECTICUT PHYSICAL THERAPY
Clinic/Center (Physical Therapy)
850 N MAIN STREET EXT, BLDG 1, SUITE 3B
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 265-3790
DR. ALINA RODRIGUEZ-CORREA D.C.
Chiropractor
850 N MAIN STREET EXT, BUILDIING #2 SUITE3A
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 627-1828
DR. PEI FANG SUN MD
Internal Medicine
850 N MAIN STREET EXT, BUILDING1,A3
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 269-4353
CRYSTAL FASANO BOYARSKY FNP
Nurse Practitioner
850 N MAIN STREET EXT
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 804-1888
REZA MOIEN MD INTERNAL MEDICINE LLC
Internal Medicine
850 N MAIN STREET EXT, BUILDING#1, SUITE D2
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 265-0298
DR. ADAM P CRAIG N.D.
Naturopath
850 N MAIN STREET EXT, BLDG 2 SUITE 3B
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 980-4161

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 Colburn's NPI number?

The NPI number for Mary Colburn is 1679066948. It was assigned to this individual provider in the NPPES registry on June 12, 2018.

Where is Mary Colburn located?

Mary Colburn practices at 850 N Main Street Ext, Wallingford, CT 06492. The listed phone number is (203) 626-4203.

What is Mary Colburn's specialty?

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

Is Mary Colburn enrolled in Medicare?

Yes. Mary Colburn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Colburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Colburn reassigns Medicare benefits to 4 organizations: Alleviate Pain And Wellness (Wallingford, CT), Tptc-Nh, LLC (New Haven, CT), Wheeler Clinic Inc (Plainville, CT) and Matrix Medical Plus (Nashville, TN). 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 Colburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Colburn accept?

Health plans from Anthem Blue Cross and Blue Shield list Mary Colburn 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 Colburn was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.