MARY ELIZABETH DEPOE CRNP
NPI 1124004163
Nurse Practitioner - Pediatrics in Lancaster, PA
About Mary Elizabeth Depoe Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ELIZABETH DEPOE CRNP (NPI 1124004163) is an individual pediatrics provider in Lancaster, Pennsylvania, licensed in Pennsylvania (TP004658N) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Elizabeth Depoe Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Depoe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lancaster, PA 17601
- Reassigned Medicare billing, Pennsylvania enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LANCASTER, PA 17601
LANCASTER, PA 17601
LANCASTER, PA 17601
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Depoe's NPI number?
The NPI number for Mary Depoe is 1124004163. It was assigned to this individual provider in the NPPES registry on December 21, 2005. The provider is also known as Mary Elizabeth Erfle Crnp.
Where is Mary Depoe located?
Mary Depoe practices at 2106 Harrisburg Pike Suite 1, Lancaster, PA 17601. The listed phone number is (717) 291-5931.
What is Mary Depoe's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Mary Depoe enrolled in Medicare?
Yes. Mary Depoe is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Depoe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Depoe reassigns Medicare benefits to Lancaster Pediatric Associates Ltd (Lancaster, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Depoe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Depoe was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Elizabeth Depoe, CRNP · NPI 1124004163
Pediatrics physician in Lancaster, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 21, 2005.
## Identity
- **NPI:** 1124004163 (Entity type: Individual)
- **Enumerated:** December 21, 2005
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** TP004658N (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2106 HARRISBURG PIKE, SUITE 1, Lancaster, PA 17601-2644
- **Phone:** (717) 291-5931 · **Fax:** (717) 291-5818
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lancaster Pediatric Associates Ltd (NPI 1831175884, Lancaster, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2020
- **Other identifiers:** Medicaid 001870291 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1124004163) · Data from the CMS NPPES public registry.