Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124055686 Individual Practitioner Female Practitioner

Mary Jo Koller , FNP-BC

Nurse Practitioner • Rome, GA

Professional Overview & Biography Verified Profile Summary

Mary Koller, FNP-BC is a registered healthcare professional specializing in Nurse Practitioner in Rome, GA. Practice services are available at 504 REDMOND RD NW under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

504 Redmond Rd Nw

Rome, GA 301651416

Telephone 7062353855
Fax 7062902721
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Rome, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
147 Specialists

Practicing in Rome, GA (3149 Statewide)

Telehealth Adoption Rate
12.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
112 89 $150.00 $89.37
93000 Routine ekg using at least 12 leads including interpretation and report
91 71 $70.00 $13.84
36415 Insertion of needle into vein for collection of blood sample
60 47 $15.00 $2.94
80048 Blood test, basic group of blood chemicals (calcium, total)
53 40 $50.00 $9.21
83880 Natriuretic peptide (heart and blood vessel protein) level
45 36 $90.00 $38.47
99213 Established patient office or other outpatient visit, typically 15 minutes
29 27 $105.00 $60.88

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN218765

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Cassie Ilyasova , PA-C

Physician Assistant

NPI 1154665909

Physician Assistant (Certified)

Dr. Henaro Sabino , MD

Pediatrics - Pediatric Cardiology

NPI 1194763789

Doctor of Medicine (M.D.)

Courtney Parr , FNP-C

Nurse Practitioner

NPI 1205522158

Family Nurse Practitioner (Certified)

Kenneth Brown , PA-C

Physician Assistant

NPI 1326104092

Physician Assistant (Certified)

Dr. Rahul Garg , MD

Internal Medicine - Cardiovascular Disease

NPI 1326109851

Doctor of Medicine (M.D.)

Dr. Charles Baggett , MD

Internal Medicine - Cardiovascular Disease

NPI 1336357060

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2016

Registered at 504 REDMOND RD NW, ROME, GA 301651416 (Tel: 7062353855)

📍
Updated Business Mailing Address June 13, 2016

Registered at 221 TECHNOLOGY PKWY NW, ROME, GA 301651369 (Tel: 7062955331)

👤
Provider Name / Credentials Updated June 13, 2016

Recorded as MARY KOLLER, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2016

Nurse Practitioner (License #RN218765 in GA)

🟢
Initial NPI Registration & Enumeration June 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124055686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2006
Last Update: June 13, 2016
Sole Proprietor: No

Mailing Address

221 Technology Pkwy Nw

Rome, GA 301651369

Phone: 7062955331

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.