MARY MCLAUGHLIN
NPI 1932471034
Nurse Practitioner - Family in Nashville, TN

Q: What is Mary Mclaughlin's NPI number?

The NPI number for Mary Mclaughlin is 1932471034. It was assigned to this individual provider in the NPPES registry on February 3, 2012.

Q: What is Mary Mclaughlin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Mclaughlin was last updated on August 27, 2023. 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.

Active since February 03, 2012PECOS EnrolledAccepts Medicare Assignment

82.55/100

CMS Quality Rating

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 936-2000 Get Directions Write a Review

NPPES record last updated: August 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 27, 2023, Oct 15, 2020, Jul 22, 2019 and 1 more (4 updates tracked since 2015).

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About Mary Mclaughlin NPPES

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

MARY MCLAUGHLIN (NPI 1932471034) is an individual family provider in Nashville, Tennessee, licensed in Tennessee (25555) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1932471034

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY MCLAUGHLIN

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-7445

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000

Phone(615) 936-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateFebruary 3, 2012

Last NPPES UpdateAugust 27, 20234 updates tracked since enumeration

NPPES CertifiedAugust 27, 2023

✔ NPI 1932471034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in TN · 25555✔ Licensed in CO · APN.0990569-NP

Also ListedRegistered NurseTaxonomy 163W00000X · License RN0000236371 (TN), 183271 (CO)

Also ListedFamily MedicineTaxonomy 207Q00000X · License 25555 (TN)

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

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Other Identifiers 1

Medicaid57607079CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., UnitedHealthcare.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 Mclaughlin 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 ID244473700

PECOS Enrollment IDI20190816002728

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

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 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.

22 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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.

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.

82.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.37

Promoting Interoperability

100

Improvement Activities

Cost

63.47

Other Providers at the Same Location NPPES 20

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

DR. ENGLISH FLACK MD

Pediatrics (Pediatric Cardiology)