MARY KATHERINE PELOT
NPI 1992242325
Physician Assistant - Medical in Brentwood, TN

Active since January 24, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6690 NOLENSVILLE RD, BRENTWOOD, TN 37027(615) 941-7670 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, Jun 29, 2018, Jan 24, 2017 (3 updates tracked since 2017).

About Mary Katherine Pelot NPPES

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

MARY KATHERINE PELOT (NPI 1992242325) is an individual medical provider in Brentwood, Tennessee, licensed in Tennessee (3205) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2016).

NPPES Registry Identity

NPI1992242325
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARY KATHERINE PELOT
Location Address6690 NOLENSVILLE RDBrentwood, TN 37027-8803
Mailing Address2620 Elm Hill PikeNashville, TN 37214-3108
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2016
Enumeration DateJanuary 24, 2017
Last NPPES UpdateJune 26, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
NPI 1992242325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TN · 3205
6690 NOLENSVILLE RD, Brentwood, TN 37027

Secondary Practice Locations 2

Location 12325 Memorial BlvdMurfreesboro, TN 37129-5108 · Phone (615) 225-0290
Location 23054 Columbia AveFranklin, TN 37064 · Phone (615) 550-0091

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 Katherine Pelot 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 ID7315221090
PECOS Enrollment IDI20170223002080
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.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

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.

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

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6690 NOLENSVILLE RD
BRENTWOOD, TN 37027
Pharmacist
6690 NOLENSVILLE RD
BRENTWOOD, TN 37027
Pharmacist
6690 NOLENSVILLE RD
BRENTWOOD, TN 37027
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6690 NOLENSVILLE RD
BRENTWOOD, TN 37027
Pharmacist
6690 NOLENSVILLE RD
BRENTWOOD, TN 37027
Pharmacy (Community/Retail Pharmacy)
6690 NOLENSVILLE RD
BRENTWOOD, TN 37027
Dietitian, Registered
6690 NOLENSVILLE RD
BRENTWOOD, TN 37027
Nurse Practitioner (Family)
6690 NOLENSVILLE RD
BRENTWOOD, TN 37027

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 Pelot's NPI number?

The NPI number for Mary Pelot is 1992242325. It was assigned to this individual provider in the NPPES registry on January 24, 2017.

Where is Mary Pelot located?

Mary Pelot practices at 6690 Nolensville Rd, Brentwood, TN 37027. The listed phone number is (615) 941-7670.

What is Mary Pelot's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mary Pelot enrolled in Medicare?

Yes. Mary Pelot 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.

When was this NPI record last updated?

The NPPES record for Mary Pelot was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.