Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary Elizabeth Pagano, FNP-C

Individual provider Nurse Practitioner · NPI 1962980979

Mrs. Mary Elizabeth Pagano, FNP-C is a Nurse Practitioner in Godfrey, Illinois. Qualified in 2018, 8 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
8
Licensed in
IL, MO
In the registry since
2018
Specialties on file
5
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

5213 Godfrey Rd Ste 110
Godfrey, IL 62035-2510
Phone: (618) 618-6193
Fax: (618) 619-3390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2022 Dorsett Vlg, Maryland Heights, MO 63043-2208 — (314) 590-0520

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209017735 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2018012503 (MO)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 041453981 (IL)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 2002007982 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209017735 (IL)

Record details

NPI number1962980979
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 1, 2018
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Godfrey