Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013253871 Individual Practitioner Female Practitioner

Mary E Tatum , NP

Nurse Practitioner • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Tatum, NP is a certified Nurse Practitioner practicing in Jacksonville, FL. With approximately 14 years of clinical experience since completing medical education in 2012, Mary Tatum delivers high-quality medical care to the local community at 4500 SAN PABLO RD S.

Mary Tatum is affiliated with Mayo Clinic Jacksonville and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic exam of voice box using a flexible endoscope, removal or exploration of parathyroid glands. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000
Associated Practice Facility / Clinic
🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jacksonville, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +4.3 yrs vs City Avg
City Avg: 9.7 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
879 Specialists

Practicing in Jacksonville, FL (8990 Statewide)

Telehealth Adoption Rate
28.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tatum (14 Years) 14 Yrs
Jacksonville Specialty Average (9.7 Years) 9.7 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
126 103 $312.00 $73.37
31575 Diagnostic exam of voice box using a flexible endoscope
106 87 $591.20 $101.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
28 22 $192.00 $46.50
60500 Removal or exploration of parathyroid glands
19 19 $1808.00 $130.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
16 16 $473.00 $105.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $474.00 $88.94
38724 Removal of lymph nodes, muscle, and tissue of neck
14 14 $932.92 $155.01
42415 Partial removal of salivary gland growth with release of facial nerve
11 11 $1776.44 $131.33

Medical Specialties & State Licenses

CMS Verified: 2020-09-02
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11005295

(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 - Critical Care Medicine

NUCC Taxonomy Code: 363LC0200X

State License NC 5007226

Definition to come...

Hospital & Practice Group Affiliations

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Secondary Practice Locations

2301 Erwin Rd, Room Scct2503

Durham, NC 277054699

Phone: 9193852440

Practice Associates & Co-Workers

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

40 Associated Practitioners
Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2020

Nurse Practitioner (License #APRN11005295 in FL)

📍
Updated Practice Location February 26, 2020

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍
Updated Business Mailing Address February 26, 2020

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

👤
Provider Name / Credentials Updated February 26, 2020

Recorded as MARY TATUM, N.P.

NPI Profile Active February 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2017

Registered at 2301 ERWIN RD, ROOM SCCT2503, DURHAM, NC 277054699 (Tel: 9193852440)

📍
Updated Business Mailing Address February 06, 2017

Registered at 2301 ERWIN RD, DMP 7WCTICU, DURHAM, NC 277054699 (Tel: 9193852440)

👤
Provider Name / Credentials Updated February 06, 2017

Recorded as MARY ROBERTS, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2017

Nurse Practitioner (License #5007226 in NC)

NPI Profile Active December 26, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2012

Registered at 8700 BEVERLY BLVD, ROOM SCCT2503, WEST HOLLYWOOD, CA 900481804 (Tel: 3104236706)

📍
Updated Business Mailing Address December 26, 2012

Registered at 8700 BEVERLY BLVD, ROOM SCCT2503, WEST HOLLYWOOD, CA 900481804 (Tel: 3104236706)

👤
Provider Name / Credentials Updated December 26, 2012

Recorded as MARY ROBERTS, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2012

Nurse Practitioner (License #22239 in CA)

🟢
Initial NPI Registration & Enumeration December 26, 2012

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: 1013253871
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2012
Last Update: September 02, 2020
Sole Proprietor: No

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Phone: 9049532000

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.