Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mary E Tatum , NP

Nurse Practitioner โ€ข Jacksonville, FL

Active NPI 1013253871 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

4500 San Pablo Rd S
Jacksonville, FL 322241865

Call 9049532000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000
Organization at the Same NPPES Address or Phone
Mayo Clinic Jacksonville Facility NPI 1790772317

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Durham, NC. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Mayo Clinic Jacksonville. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2012

Medicare patients

239 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $30,458 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $22,389 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

65 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$163 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $198.50 across 2 records.

By nature of payment

  • Food and Beverage: $198.50 across 2 records.

Reporting-company totals

  • Inspire Medical Systems, Inc.: $103.99 across 1 record.
  • Cochlear Ltd: $94.51 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

14 years (graduated 2012)

CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mary Tatum has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mary Tatum as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jacksonville and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Nurse Practitioner in Jacksonville, FL (2024, 454 clinicians with data). Median for this group: 351. Middle half: 119 to 708.

Close to the middle for clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: 281. Middle half: 98 to 758.

Medicare-allowed amount

Close to the middle for clinicians listed under Nurse Practitioner in Jacksonville, FL (2024, 454 clinicians with data). Median for this group: $27,986. Middle half: $10,135 to $62,397.

Close to the middle for clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: $22,890. Middle half: $8,465 to $56,388.

Paid by Medicare

Close to the middle for clinicians listed under Nurse Practitioner in Jacksonville, FL (2024, 454 clinicians with data). Median for this group: $20,915. Middle half: $7,486 to $47,242.

Close to the middle for clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: $17,374. Middle half: $6,293 to $42,181.

Medicare Part D prescriptions

Fewer Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Jacksonville, FL (2024, 390 clinicians with data). Median for this group: 215. Middle half: 66 to 757.

Fewer Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Florida (2024, 3,506 clinicians with data). Median for this group: 306. Middle half: 76 to 1,100.

Part D drug cost

A lower Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Jacksonville, FL (2024, 390 clinicians with data). Median for this group: $15,794. Middle half: $1,287 to $91,884.

A lower Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Florida (2024, 3,506 clinicians with data). Median for this group: $18,227. Middle half: $1,370 to $130,581.

872 active clinicians are listed under Nurse Practitioner with a practice address in Jacksonville, FL (8,853 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

28.3% of these 872 clinicians have the CMS telehealth indicator.

62.5% of these 872 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $198.50.

Manufacturer Payment Nature Product Type Amount ($)
Inspire Medical Systems, Inc.
Food and Beverage
In-kind items and services
INSPIRE General $103.99
Cochlear Ltd
Food and Beverage
Cash or cash equivalent
COCHLEAR NUCLEUS CI632 COCHLEAR IMPLANT WITH SLIM MODIOLAR ELECTRODE General $94.51

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2021โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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 Removal of growth of saliva gland with release of facial nerve
11 11 $1776.44 $131.33

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 65 192 $162.51 61

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-09-02
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES 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

License # reported to NPPES NC 5007226
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20200405000059

Enrollment State Jurisdiction

FL

PECOS Control ID

0244465979

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

36 listed
Dr. Zaid Abdel Rahman , MD

Internal Medicine - Hematology

NPI 1003299330

Doctor of Medicine (M.D.)

Dr. Mohammed Ahmed , MD

Radiology - Diagnostic Radiology

NPI 1013335876

Doctor of Medicine (M.D.)

Dr. Violeta Alvarez Retamales , MD

Internal Medicine - Nephrology

NPI 1013401090

Doctor of Medicine (M.D.)

Ryan Asencios , PA-C

Physician Assistant

NPI 1003484437

Physician Assistant (Certified)

Melinda Barber , ARNP

Nurse Practitioner

NPI 1013358613

Advanced Registered Nurse Practitioner

NPI 1013273986

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2020

Nurse Practitioner (license number reported to NPPES: FL APRN11005295)

๐Ÿ“
Updated Practice Location February 26, 2020

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

๐Ÿ“
Updated Business Mailing Address February 26, 2020

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

๐Ÿ‘ค
Provider Name / Credentials Updated February 26, 2020

Recorded as MARY TATUM, N.P.

โœ…
NPI Profile Active February 06, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location February 06, 2017

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

๐Ÿ“
Updated Business Mailing Address February 06, 2017

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

๐Ÿ‘ค
Provider Name / Credentials Updated February 06, 2017

Recorded as MARY ROBERTS, N.P.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2017

Nurse Practitioner (license number reported to NPPES: NC 5007226)

โœ…
NPI Profile Active December 26, 2012

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) December 26, 2012

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

๐Ÿ“
Business Mailing Address (Initial Record) December 26, 2012

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) December 26, 2012

Recorded as MARY ROBERTS, N.P.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2012

Nurse Practitioner (license number reported to NPPES: CA 22239)

๐ŸŸข
Initial NPI Registration & Enumeration December 26, 2012

First registered as active Individual Practitioner in NPPES Database.

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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

Other Nurse Practitioners in Jacksonville

All Nurse Practitioners in Jacksonville

More public profiles in Florida

Directory navigation, in NPI number order.

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Phone: 9049532000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.