MARY MANN CNP
NPI 1851060057
Nurse Practitioner - Family in Florence, KY

Active since September 10, 2021PECOS EnrolledAccepts Medicare Assignment
86.86/100
CMS Quality Rating
8780 US HIGHWAY 42, FLORENCE, KY 41042(859) 384-8320(859) 384-8338 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 29, 2023, Sep 10, 2021 (2 updates tracked since 2021).

About Mary Mann Cnp NPPES

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

MARY MANN CNP (NPI 1851060057) is an individual family provider in Florence, Kentucky, licensed in Kentucky (3016190) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Florence, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1851060057
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY MANNCredential: CNP
Location Address8780 US HIGHWAY 42Florence, KY 41042-6936
Mailing Address2139 Auburn Avenue, Attn: Payor Enrollment 4-7Cincinnati, OH 45219-2610 · (513) 351-9900
Fax(859) 384-8338
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 10, 2021
Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
NPI 1851060057 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
Licenses Licensed in KY · 3016190 Licensed in OH · CNP.0029684
8780 US HIGHWAY 42, Florence, KY 41042

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 Mann Cnp 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 ID6002213311
PECOS Enrollment IDI20230221001756
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
123 services84 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services27 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost56.2

Other Providers at the Same Location NPPES 8

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

Durable Medical Equipment & Medical Supplies
8780 US HIGHWAY 42
FLORENCE, KY 41042
Ophthalmology
8780 US HIGHWAY 42
FLORENCE, KY 41042
Family Medicine
8780 US HIGHWAY 42, SUITE A
FLORENCE, KY 41042
Family Medicine
8780 US HIGHWAY 42, SUITE A
FLORENCE, KY 41042
Hearing Aid Equipment
8780 US HIGHWAY 42, SUITE D
FLORENCE, KY 41042
Nurse Practitioner (Adult Health)
8780 US HIGHWAY 42
FLORENCE, KY 41042
Anesthesiology (Pain Medicine)
8780 US HIGHWAY 42
FLORENCE, KY 41042
Family Medicine
8780 US HIGHWAY 42, SUITE A
FLORENCE, KY 41042

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 Mann's NPI number?

The NPI number for Mary Mann is 1851060057. It was assigned to this individual provider in the NPPES registry on September 10, 2021.

Where is Mary Mann located?

Mary Mann practices at 8780 Us Highway 42, Florence, KY 41042. The listed phone number is (859) 384-8320.

What is Mary Mann's specialty?

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

Is Mary Mann enrolled in Medicare?

Yes. Mary Mann 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 Mann accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Mary Mann 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.

Is Mary Mann affiliated with any hospitals?

According to CMS data, Mary Mann is affiliated with St Elizabeth Florence and Christ Hospital.

When was this NPI record last updated?

The NPPES record for Mary Mann was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.