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MS. MARY AGNES UTTERMOHLEN MSN, FNP-BC, RN-C
NPI 1699756494
Nurse Practitioner - Family in Fort Sam Houston, TX

Active since November 09, 2005PECOS Enrolled
3100 SCOFIELD ROAD #1179, FORT SAM HOUSTON PRIMARY CARE CLINIC, FORT SAM HOUSTON, TX 78234(210) 808-2470(210) 808-3515 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Agnes Uttermohlen Msn, Fnp-bc, Rn-c NPPES

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

MS. MARY AGNES UTTERMOHLEN MSN, FNP-BC, RN-C (NPI 1699756494) is an individual family provider in Fort Sam Houston, Texas, licensed in Texas (569973) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699756494
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARY AGNES UTTERMOHLENCredential: MSN, FNP-BC, RN-C
Location Address3100 SCOFIELD ROAD #1179, FORT SAM HOUSTON PRIMARY CARE CLINICFort Sam Houston, TX 78234
Mailing Address3100 Scofield Road #1179, Fort Sam Houston Primary Care ClinicFort Sam Houston, TX 78234 · (210) 808-2470 · Fax (210) 808-3515
Phone(210) 808-2470
Fax(210) 808-3515
Sole ProprietorNo
Enumeration DateNovember 9, 2005
Last NPPES UpdateNovember 10, 2011
✔ NPI 1699756494 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 TX · 569973
3100 SCOFIELD ROAD #1179, Fort Sam Houston, TX 78234
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Mary Agnes Stotts Msn-fnp-bc, Rn-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Agnes Uttermohlen Msn, Fnp-bc, Rn-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78234 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 Uttermohlen's NPI number?

The NPI number for Mary Uttermohlen is 1699756494. It was assigned to this individual provider in the NPPES registry on November 9, 2005. The provider is also known as Mrs. Mary Agnes Stotts Msn-Fnp-Bc, Rn-C.

Where is Mary Uttermohlen located?

Mary Uttermohlen practices at 3100 Scofield Road #1179 Fort Sam Houston Primary Care Clinic, Fort Sam Houston, TX 78234. The listed phone number is (210) 808-2470.

What is Mary Uttermohlen's specialty?

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

Is Mary Uttermohlen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary Uttermohlen was last updated on November 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.