MARY FILLMORE PMHNP
NPI 1811715626
Nurse Practitioner - Psychiatric/Mental Health in Leroy, MI

Active since September 30, 2024PECOS EnrolledAccepts Medicare Assignment
13949 ROBINHOOD LN, LEROY, MI 49655(906) 322-0091 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mary Fillmore Pmhnp NPPES

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

MARY FILLMORE PMHNP (NPI 1811715626) is an individual psychiatric/mental health provider in Leroy, Michigan, licensed in Michigan (4704284792) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2024).

NPPES Registry Identity

NPI1811715626
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY FILLMORECredential: PMHNP
Location Address13949 ROBINHOOD LNLeroy, MI 49655-9386
Mailing Address13949 Robinhood LnLeroy, MI 49655-9386 · (906) 322-0091
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2024
Enumeration DateSeptember 30, 2024
Last NPPES UpdateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
NPI 1811715626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MI · 4704284792
13949 ROBINHOOD LN, Leroy, MI 49655

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 Fillmore Pmhnp 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 ID6608396106
PECOS Enrollment IDI20250227002265
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 49655 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

Nurse Practitioner (Psychiatric/Mental Health)
13949 ROBINHOOD LN
LEROY, MI 49655

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 Fillmore's NPI number?

The NPI number for Mary Fillmore is 1811715626. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Where is Mary Fillmore located?

Mary Fillmore practices at 13949 Robinhood Ln, Leroy, MI 49655. The listed phone number is (906) 322-0091.

What is Mary Fillmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mary Fillmore enrolled in Medicare?

Yes. Mary Fillmore 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 Fillmore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Mary Fillmore 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 Fillmore was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.