Individual provider Active NPI

Mary Yvette Staton, NP

  • Family Nurse Practitioner
  • Tulare, CA
National Provider Identifier
1154528313
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17322 Issued in CA
Practice address
1050 N Cherry St
Tulare, CA 93274-2251
Phone
(559) 686-4766
Fax
(559) 686-2016
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17322 CA Primary

Addresses

Primary practice location

1050 N Cherry St
Tulare, CA 93274-2251

Mailing address

5749 W Country Ave
Visalia, CA 93277-5502
Phone (559) 739-8104

Other practice location 1

5533 W Hillsdale Ave # 3
Visalia, CA 93291-5138
Phone (559) 622-8500

Other names 1

  • Miss Mary Yvette Cutshaw Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20071018000370 CA Practitioner - Nurse Practitioner 0840386173 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Key Medical Associates IncGroup PAC ID 6103156591, 13 clinicians

Practice addresses (Care Compare)

3335 S Fairway St
Visalia, CA 93277-7781
Phone (559) 734-1321

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
  • Sierra View Medical Center Hospital, Porterville, CA, CCN 050261
  • Adventist Health Tulare Hospital, Tulare, CA, CCN 050784
  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District CurrentSince Jan 1, 2016 Accepting new patients
Kaweah Delta Health Care Inc CurrentSince Dec 1, 2020 Accepting new patients
Kaweah Delta Health Care District CurrentSince Sep 2, 2018 Accepting new patients
Kaweah Delta Health Care District Current Accepting new patients
Kaweah Delta Health Care District CurrentSince Jan 1, 2016 Accepting new patients
Key Medical Associates, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Visalia Medical Clinic, Inc. Current Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Mineral King Surgical Associates, Inc. Past Accepting new patients

Locations

355 Monte Vista Dr
Dinuba, CA 93618
Phone (559) 595-7650

1014 San Juan Ave
Exeter, CA 93221
Phone (559) 592-7300

839 Sequoia Ave
Lindsay, CA 93247
Phone (559) 302-7413

1000 N Mooney Blvd
Tulare, CA 93274
Phone (559) 624-6358

1110 S Ben Maddox Way
#B
Visalia, CA 93292
Phone (559) 624-4800

5400 W Hillsdale Ave
Visalia, CA 93291
Phone (553) 733-5222

1633 S Court St
Visalia, CA 93277
Phone (559) 624-6090

3600 W Flagstaff Ave
Visalia, CA 93291
Phone (559) 624-6090

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

325 S Willis St
Visalia, CA 93291
Phone (559) 624-4080

3632 W Packwood Ave
Visalia, CA 93277
Phone (559) 734-6701

3335 S Fairway St
Visalia, CA 93277
Phone (559) 734-1321

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

180 E Antelope Ave
Woodlake, CA 93286
Phone (559) 564-1800

Interoperability endpoints

  • Direct secure messaging: mary.staton.p1@direct.ariachc.nextgenshare.com

Organizations & group practices 9

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154528313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5749 W COUNTRY AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775502",
            "telephone_number": "559-739-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742251",
            "telephone_number": "559-686-4766",
            "fax_number": "559-686-2016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5533 W Hillsdale Ave # 3",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932915138",
            "country_code": "US",
            "telephone_number": "559-622-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATON",
        "first_name": "MARY",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "17322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CUTSHAW",
            "middle_name": "YVETTE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.