Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033224472 Individual Practitioner Female Practitioner

Mary G Fitzgerald , ANP

Nurse Practitioner - Pediatrics • Berkeley, MO

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Mary Fitzgerald, ANP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Berkeley, MO. Official NPI practice address is registered at 6121 N HANLEY RD.

Practice Location & Contact Primary Location

Practice Address

6121 N Hanley Rd

Berkeley, MO 631342003

Telephone 3146150600
Fax 3146158303
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Berkeley, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Berkeley, MO (900 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MO 065417

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
425013323 (MO)

Practice Associates & Co-Workers

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

22 Associated Practitioners
Margaret Hinshaw , LCSW

Social Worker - Clinical

NPI 1083864797

Licensed Clinical Social Worker

Susan Bishop , ANP

Nurse Practitioner - Pediatrics

NPI 1114031531

Adult Nurse Practitioner

Dr. Nita Johnson , DDS

Dentist - General Practice

NPI 1114033321

Doctor of Dental Surgery

Dr. Ernest Jackson , DDS

Dentist - Dental Public Health

NPI 1124113246

Doctor of Dental Surgery

NPI 1184739609

Advanced Practice Nurse

Dr. Victoria Dzundzev , DMD

Dentist - General Practice

NPI 1356489561

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 25, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2012

Registered at 6121 N HANLEY RD, BERKELEY, MO 631342003 (Tel: 3146150600)

📍
Updated Business Mailing Address September 25, 2012

Registered at 6121 N HANLEY RD, BERKELEY, MO 631342003 (Tel: 3146150600)

👤
Provider Name / Credentials Updated September 25, 2012

Recorded as MARY FITZGERALD, ANP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2012

Nurse Practitioner (License #065417 in MO)

🟢
Initial NPI Registration & Enumeration August 19, 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: 1033224472
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2006
Last Update: September 25, 2012
Sole Proprietor: No

Mailing Address

6121 N Hanley Rd

Berkeley, MO 631342003

Phone: 3146150600

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.