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MS. MARY KATHLEEN SCHUPP ARNP
NPI 1851445860
Nurse Practitioner - Family in St Augustine, FL

Active since January 23, 2007PECOS Enrolled
100 WHETSTONE PL STE 208, ST AUGUSTINE, FL 32086(904) 447-7377 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 11, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Ms. Mary Kathleen Schupp Arnp NPPES

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

MS. MARY KATHLEEN SCHUPP ARNP (NPI 1851445860) is an individual family provider in St Augustine, Florida, licensed in Florida (ARNP1104662) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851445860
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARY KATHLEEN SCHUPPCredential: ARNP
Location Address100 WHETSTONE PL STE 208St Augustine, FL 32086-5775
Mailing Address100 Whetstone Pl Ste 208St Augustine, FL 32086-5775
Phone(904) 447-7377
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateMay 11, 20222 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1851445860 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 FL · ARNP1104662
100 WHETSTONE PL STE 208, St Augustine, FL 32086
Open in Google Maps ↗

Other Identifiers 1

Medicaid020952200FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Kathleen Schupp Arnp 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 Reassignments

2

Medicare enrollment records show Mary Schupp reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Flagler Family Medicine P A
0.2 mi
Family Medicine
130 HEALTH PARK BLVD
St Augustine, FL 32086
  • Reassigned Medicare billing, Florida enrollment
  • 26 clinicians in this Medicare group
NPI 1215080809 (904) 826-3469
Flagler Family Nursing Home Care LLC
0.2 mi
Family Medicine
130 HEALTHPARK BLVD
St Augustine, FL 32086
  • Reassigned Medicare billing, Florida enrollment
  • 17 clinicians in this Medicare group
NPI 1679172779 (904) 826-3469

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 32086 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

OLD CITY HEALTH
Physical Medicine & Rehabilitation
100 WHETSTONE PL STE 208
ST AUGUSTINE, FL 32086
St. Johns County (904) 447-7377

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 Schupp's NPI number?

The NPI number for Mary Schupp is 1851445860. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Mary Schupp located?

Mary Schupp practices at 100 Whetstone Pl Ste 208, St Augustine, FL 32086. The listed phone number is (904) 447-7377.

What is Mary Schupp's specialty?

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

Is Mary Schupp enrolled in Medicare?

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

Which organizations bill Medicare for Mary Schupp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Schupp reassigns Medicare benefits to 2 organizations: Flagler Family Medicine P A (St Augustine, FL) and Flagler Family Nursing Home Care LLC (St Augustine, FL). 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 Schupp'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 Schupp was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.