Individual provider

Mary Innis, RN PC

Adult Psychiatric/Mental Health Clinical Nurse Specialist

Mary Innis, RN PC is an Adult Psychiatric/Mental Health Clinical Nurse Specialist in Worcester, MA, registered under NPI 1053366963.

Getting there

The practice address on file is 100 CENTURY DR, Worcester, MA 01606. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

100 CENTURY DR, Worcester, MA 01606 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
167110 MA Adult Psychiatric/Mental Health Clinical… primary

This provider holds licence 167110 issued in MA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Psychiatric/Mental Health, Adult covers

Definition to come... NUCC Health Care Provider Taxonomy, code 364SP0809X
Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Psychiatric/Mental Health, Adult

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1053366963 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 23, 2006
Last updatedNov 24, 2020
StatusActive
Sole proprietorNo
CredentialRN PC
Practice address 100 CENTURY DR
Worcester, MA 01606
(508) 762-5400
Fax (508) 762-5410
Mailing address PO BOX 415348 PROVIDER ENROLLMENT
Boston, MA 02241
The last update on file is Nov 24, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1053366963 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 5 3 3 6 6 9 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 1 3 6 6 3 9 3

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1053366963?
NPI 1053366963 is the National Provider Identifier assigned to Mary Innis, RN PC in Worcester, MA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health, Adult cover?
Definition to come...
How do I contact Mary Innis, RN PC?
The phone number on file with NPPES is (508) 762-5400, last updated Nov 24, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1053366963 a valid number?
Yes. 1053366963 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.