Mary Innis, RN PC
NPI 1053366963 · Adult Psychiatric/Mental Health Clinical Nurse Specialist · Worcester, MA
Mary Innis, RN PC is a Adult Psychiatric/Mental Health Clinical Nurse Specialist provider in Worcester, MA (NPI 1053366963).
Provider details
- NPI number
- 1053366963
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN PC
- Sex
- Female
- Sole proprietor
- No
- License
- 167110 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2020-11-24
- Certified
- 2020-11-24
Frequently asked questions
- What is Mary Innis's NPI number?
- Mary Innis's National Provider Identifier (NPI) is 1053366963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Innis's specialty?
- Mary Innis is listed in the NPPES registry with a primary specialty of Adult Psychiatric/Mental Health Clinical Nurse Specialist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Innis located?
- Mary Innis's practice location on file with NPPES is 100 Century Dr, Worcester, MA 01606.
- What is Mary Innis's phone number?
- The practice phone number listed in the NPPES registry for Mary Innis is (508) 762-5400.
- Is Mary Innis's NPI active?
- Yes — Mary Innis's NPI (1053366963) is active in the NPPES registry as of the last update on 2020-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.