Active NPI 1790293447 Individual Practitioner Female Practitioner

Mary Lou Mccormack , RN

Registered Nurse - General Practice • Nespelem, WA

Professional Overview & Biography Verified Profile Summary

Mary Mccormack, RN is a registered healthcare professional specializing in Registered Nurse - General Practice in Nespelem, WA. Practice services are available at 19 LAKES STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19 Lakes Street

Nespelem, WA 99155

Telephone 5096342900

Associated Practice Facility / Clinic

🏢 Dssh Ihs Colville Service Unit Facility NPI 1174851737

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - General Practice in Nespelem, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Nespelem, WA (132 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

Registered Nurse - General Practice Primary Specialty

NUCC Taxonomy Code: 163WG0000X

State License WA 60802429

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rn

60802429 (WA)

Practice Associates & Co-Workers

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

28 Associated Practitioners

Patricia Maxwell , RT

Radiologic Technologist

NPI 1053495838

Candi Ives , RN

Registered Nurse

NPI 1053583641

Registered Nurse

Rinku Shewa

Registered Nurse - Emergency

NPI 1154838571

Jerrod Peterson , RN

Registered Nurse

NPI 1164864856

Registered Nurse

Sandra Nomee , ASCP

Specialist/Technologist, Pathology - Medical Technologist

NPI 1174607931

Dr. William Hall , MD

Clinic/Center

NPI 1184645640

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 January 16, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 16, 2018

Registered at 19 LAKES STREET, NESPELEM, WA 99155 (Tel: 5096342900)

📍

Updated Business Mailing Address January 16, 2018

Registered at PO BOX 71, NESPELEM, WA 991550071 (Tel: 5096342900)

👤

Provider Name / Credentials Updated January 16, 2018

Recorded as MARY MCCORMACK, RN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2018

Registered Nurse (License #60802429 in WA)

🟢

Initial NPI Registration & Enumeration January 16, 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: 1790293447

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 16, 2018

Last Update: January 16, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 71

Nespelem, WA 991550071

Phone: 5096342900

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.