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Active NPI 1962980979 Individual Practitioner Female Practitioner

Mary Elizabeth Pagano , FNP-C

Nurse Practitioner • Godfrey, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Pagano, FNP-C is a certified Nurse Practitioner practicing in Godfrey, IL. With approximately 8 years of clinical experience since completing medical education in 2018, Mary Pagano delivers high-quality medical care to the local community at 5213 GODFREY RD STE 110.

Mary Pagano is affiliated with Fairview Heights Medical Group Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5213 Godfrey Rd Ste 110

Godfrey, IL 620352510

Telephone 6186186193
Fax 6186193390
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Godfrey, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -2.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Godfrey, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pagano (8 Years) 8 Yrs
Godfrey Specialty Average (10.4 Years) 10.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
15 15 $187.00 $75.15
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
11 11 $179.00 $68.88

Medical Specialties & State Licenses

CMS Verified: 2025-09-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209017735

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MO 2018012503

Definition to come...

Registered Nurse - General Practice

NUCC Taxonomy Code: 163WG0000X

State License IL 041453981

Definition to come...

Registered Nurse - General Practice

NUCC Taxonomy Code: 163WG0000X

State License MO 2002007982

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209017735

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Mo Np License Number
2018012503 (MO)

Hospital & Practice Group Affiliations

Fairview Heights Medical Group Sc

5213 Godfrey Rd, Godfrey, IL 620352510

Phone: 6186193330

Fairview Heights Medical Group Sc

163 E Bethalto Dr, Bethalto, IL 620101801

Phone: 6184336640

Fairview Heights Medical Group Sc

1 Memorial Dr, Alton, IL 620026722

Phone: 6184637240

Secondary Practice Locations

2022 Dorsett Vlg

Maryland Heights, MO 630432208

Phone: 3145900520

Practice Associates & Co-Workers

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

5 Associated Practitioners
Jessica Stricklin , PA-C

Physician Assistant

NPI 1124650353

Physician Assistant (Certified)

Briana Waldeck , NP

Nurse Practitioner

NPI 1477952067

Nurse Practitioner

Tracie Eilerman , FNP

Nurse Practitioner - Family

NPI 1619456472

Family Nurse Practitioner

Dr. Parishi Patel , DO

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1649733353

Doctor of Osteopathic Medicine (D.O.)

Valerie Fretz , NP

Nurse Practitioner - Family

NPI 1720885270

Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2025

Nurse Practitioner (License #209017735 in IL)

📍
Updated Practice Location June 25, 2024

Registered at 5213 GODFREY RD STE 110, GODFREY, IL 620352510 (Tel: 6186186193)

📍
Updated Business Mailing Address June 25, 2024

Registered at 660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 631418512 (Tel: 3144483791)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Registered Nurse (License #041453981 in IL)

NPI Profile Active August 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2018

Registered at 2022 DORSETT VLG, MARYLAND HEIGHTS, MO 630432208 (Tel: 3145900520)

📍
Updated Business Mailing Address August 01, 2018

Registered at 2022 DORSETT VLG, MARYLAND HEIGHTS, MO 630432208 (Tel: 3145900520)

👤
Provider Name / Credentials Updated August 01, 2018

Recorded as MARY PAGANO, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2018

Registered Nurse (License #2002007982 in MO)

🟢
Initial NPI Registration & Enumeration August 01, 2018

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: 1962980979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2018
Last Update: September 19, 2025
Sole Proprietor: No

Mailing Address

660 Mason Ridge Center Dr Ste 300

Saint Louis, MO 631418512

Phone: 3144483791

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.