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MARY BLONDELL DEAL APN
NPI 1841392974
Nurse Practitioner - Family in Jackson, TN

Active since September 01, 2006PECOS Enrolled
31 PHYSICIANS DR, JACKSON, TN 38305(731) 664-0103(731) 984-7272 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Blondell Deal Apn NPPES

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

MARY BLONDELL DEAL APN (NPI 1841392974) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (APN5466) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841392974
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY BLONDELL DEALCredential: APN
Location Address31 PHYSICIANS DRJackson, TN 38305-2071
Mailing Address31 Physicians DrJackson, TN 38305-2071 · (731) 664-0103 · Fax (731) 984-7272
Phone(731) 664-0103
Fax(731) 984-7272
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateApril 21, 2011
✔ NPI 1841392974 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 TN · APN5466
31 PHYSICIANS DR, Jackson, TN 38305
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Other Identifiers 7

Medicare PIN39006731TN
Other4162728TN · Bcbs
Other41975TN · Tlc
Medicaid3900675TN
Medicare UPINS68391TN
Medicaid39006731TN
Medicare PIN3900675TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Blondell Deal Apn 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 Deal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fast Pace Medical Clinic PLLC
110 mi
Family Medicine
3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 985 clinicians in this Medicare group
NPI 1134452865 (931) 487-1006

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 38305 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims365 services$6.12 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims3,960 services$0.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

KENNETH R. WARREN M.D.
Family Medicine
31 PHYSICIANS DR, SUITE 1
JACKSON, TN 38305
Madison County (731) 664-0103
FRED J SESTI FNP
Nurse Practitioner
31 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 664-0103
GOODWIN & ASSOCIATES, P.C.
Specialist
31 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 668-9791
KENNETH R. W. WARREN, M.D.P.C.
Family Medicine
31 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 664-0103
LINDSAY T CROCKER FNP
Nurse Practitioner (Family)
31 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 256-0526
KEVIN G GRAY M.D.
Internal Medicine
31 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 664-0103

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 Deal's NPI number?

The NPI number for Mary Deal is 1841392974. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Mary Deal located?

Mary Deal practices at 31 Physicians Dr, Jackson, TN 38305. The listed phone number is (731) 664-0103.

What is Mary Deal's specialty?

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

Is Mary Deal enrolled in Medicare?

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

Which organization bills Medicare for Mary Deal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Deal reassigns Medicare benefits to Fast Pace Medical Clinic PLLC (Spring Hill, TN). 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 Deal'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 Deal was last updated on April 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.