MARY FILLMORE PMHNP
NPI 1811715626
Nurse Practitioner - Psychiatric/Mental Health in Leroy, MI
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Fillmore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Traverse City, MI 49686
- Reassigned Medicare billing, Michigan enrollment
- 33 clinicians in this Medicare group
Detroit, MI 48207
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Team Mental Health Services Inc
- 116 clinicians in this Medicare group
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 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Mary Fillmore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Fillmore reassigns Medicare benefits to 2 organizations: Chronic Care Management LLC (Traverse City, MI) and Team Wellness Center (Detroit, MI). 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 Fillmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Fillmore accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare 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 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.
# Mary Fillmore, PMHNP · NPI 1811715626
Psychiatric/Mental Health physician in Leroy, Michigan. Individual provider, active in the CMS NPPES registry since September 30, 2024.
## Identity
- **NPI:** 1811715626 (Entity type: Individual)
- **Enumerated:** September 30, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 4704284792 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13949 ROBINHOOD LN, Leroy, MI 49655-9386
- **Phone:** (906) 322-0091
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Chronic Care Management LLC (NPI 1730506726, Traverse City, MI); Team Wellness Center (NPI 1588855100, Detroit, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2024
## Record status
- **NPPES last updated:** October 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811715626) · Data from the CMS NPPES public registry.