Individual provider Active NPI

Mary Rollins, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • London, KY
National Provider Identifier
1851968952
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3016253 Issued in KY
Practice address
95 S Laurel Rd Ste 1
London, KY 40744-8300
Phone
(606) 770-5086
Fax
(863) 456-1301
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3016253 KY Primary
Home Health Registered Nurse 163WH0200X 1103933 KY

Addresses

Primary practice location

95 S Laurel Rd Ste 1
London, KY 40744-8300

Mailing address

95 S Laurel Rd Ste 1
London, KY 40744-8300
Phone (606) 770-5086

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrollins2@liberty.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220519000896 KY Practitioner - Nurse Practitioner 2860879483 Reassigns benefits to 1 organization
Practice locations: London, KY
I20241216001983 KY Practitioner - Nurse Practitioner 2860879483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartstrings Mental Health PLLCGroup PAC ID 3779018858, 8 clinicians

Practice addresses (Care Compare)

125 S Laurel Rd
Suite 1
London, KY 40744-8501
Phone (606) 770-5086

95 S Laurel Rd
Suite 1
London, KY 40744-8300
Phone (606) 770-5086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1103933KYMDHome Health Registered Nurse
3016253KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 26, 2023 Accepting new patients
Heartstrings Mental Health PLLC Psychiatric/Mental Health CurrentSince Sep 23, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

95 S Laurel Rd
Ste 1
London, KY 40744
Phone (606) 401-1905

125 S Laurel Rd
Unit 1
London, KY 40744
Phone (606) 401-0751

1249 S Main St
Ste 3
London, KY 40741
Phone (606) 594-9018

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1851968952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 S LAUREL RD STE 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448300",
            "telephone_number": "606-770-5086",
            "fax_number": "863-456-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 S LAUREL RD STE 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448300",
            "telephone_number": "606-770-5086",
            "fax_number": "863-456-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "MARY",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3016253",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "KY",
            "license": "1103933",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrollins2@liberty.edu",
            "affiliation": "N",
            "address_1": "116 Miller Ln",
            "city": "London",
            "state": "KY",
            "country_code": "US",
            "postal_code": "407449144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.