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MARY C HEAD NP
NPI 1699700484
Nurse Practitioner in Charlotte, NC

Active since July 11, 2006PECOS Enrolled
457 N WENDOVER RD, CHARLOTTE, NC 28211(704) 817-3808(877) 471-2522 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary C Head Np NPPES

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

MARY C HEAD NP (NPI 1699700484) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (900417) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699700484
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY C HEADCredential: NP
Location Address457 N WENDOVER RDCharlotte, NC 28211-1064
Mailing Address457 N Wendover RdCharlotte, NC 28211-1064 · (704) 817-3808 · Fax (877) 471-2522
Phone(704) 817-3808
Fax(877) 471-2522
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1699700484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 900417
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.
Also ListedSurgeryTaxonomy 208600000X · License 0009-00417 (NC)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 900417 (NC)
457 N WENDOVER RD, Charlotte, NC 28211
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Other Identifiers 1

Medicaid7003510NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary C Head Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Head reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
932 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, North Carolina enrollment
  • 728 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 28211 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.

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 Head's NPI number?

The NPI number for Mary Head is 1699700484. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Mary Head located?

Mary Head practices at 457 N Wendover Rd, Charlotte, NC 28211. The listed phone number is (704) 817-3808.

What is Mary Head's specialty?

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

Is Mary Head enrolled in Medicare?

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

Which organization bills Medicare for Mary Head's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Head reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Head's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Head was last updated on September 26, 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.