Individual provider Active NPI

Mary Margaret Rising, DNP

  • Family Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1063910776
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9362214 Issued in FL
Practice address
621 Martin Luther King Jr Blvd
Panama City, FL 32401-3642
Phone
(850) 832-4616
NPI assigned
Jan 28, 2018
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9362214 FL Primary
Registered Nurse 163W00000X 9362214 FL

Addresses

Primary practice location

621 Martin Luther King Jr Blvd
Panama City, FL 32401-3642

Mailing address

2934 Kings Dr
Panama City, FL 32405-1616
Phone (850) 832-4616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180606001373 FL Practitioner - Nurse Practitioner 8729343108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jesus M Ramirez MD PAGroup PAC ID 9032157524, 3 clinicians

Practice addresses (Care Compare)

502 N Mac Arthur Ave
Panama City, FL 32401-3642

621 N MLK Blvd
Panama City, FL 32401-3642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9362214FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jesus M. Ramirez, MD PA CurrentSince Aug 6, 2018 Accepting new patients
William Tony McKenzie MD, PA PastSince Nov 15, 2020 Accepting new patients

Locations

621 N Cove Blvd
Panama City, FL 32401
Phone (850) 785-3212

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1063910776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2934 KINGS DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051616",
            "telephone_number": "850-832-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MARTIN LUTHER KING JR BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013642",
            "telephone_number": "850-832-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISING",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-28",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9362214",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9362214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.