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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DESTINY MAYO-JURATOVIC CRNP
NPI 1154860294
Nurse Practitioner - Critical Care Medicine in Philadelphia, PA

Active since February 22, 2017PECOS Enrolled
1650 MARKET ST STE 3600, PHILADELPHIA, PA 19103(855) 212-2273(629) 240-6003 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2022, Feb 10, 2022, Oct 2, 2020 and 1 more (4 updates tracked since 2017).

About Destiny Mayo-juratovic Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESTINY MAYO-JURATOVIC CRNP (NPI 1154860294) is an individual critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP017240) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Horsham.

NPPES Registry Identity

NPI1154860294
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameDESTINY MAYO-JURATOVICCredential: CRNP
Location Address1650 MARKET ST STE 3600Philadelphia, PA 19103-7334
Mailing Address5410 Maryland Way Ste 400Brentwood, TN 37027-8087 · (855) 212-2273
Phone(855) 212-2273
Fax(629) 240-6003
Sole ProprietorNo
Enumeration DateFebruary 22, 2017
Last NPPES UpdateOctober 22, 20264 updates tracked since enumeration
NPPES CertifiedOctober 22, 2026
✔ NPI 1154860294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in PA · SP017240
1650 MARKET ST STE 3600, Philadelphia, PA 19103
Open in Google Maps ↗

Secondary Practice Location 1

Location 1680 Blair Mill RdHorsham, PA 19044-2223 · Phone (800) 765-6808

Other Identifiers 1

Medicaid103287860-0003PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Destiny Mayo-juratovic Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Destiny Mayo-juratovic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Monogram Health Professional Services PC
690 mi
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 99 clinicians in this Medicare group
NPI 1134739089 (615) 465-8684

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 19103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ULYSSES SAMUEL ATOR PA-C, MPAS
Physician Assistant
1650 MARKET ST STE 3600
PHILADELPHIA, PA 19103
Philadelphia County (855) 212-2273
THE HOME CARE AGENCY CORP
In Home Supportive Care
1650 MARKET ST STE 3600
PHILADELPHIA, PA 19103
Philadelphia County (929) 333-3955
TIFFANY ANN LUNGER MA, LPC
Counselor (Professional)
1650 MARKET ST STE 3600
PHILADELPHIA, PA 19103
Philadelphia County (323) 205-7088
DEBORAH MICHELLE HITE LPC
Counselor (Professional)
1650 MARKET ST STE 3600
PHILADELPHIA, PA 19103
Philadelphia County (323) 205-7088
ASHLEY R ROUT CRNP
Nurse Practitioner (Acute Care)
1650 MARKET ST STE 3600
PHILADELPHIA, PA 19103
Philadelphia County (855) 212-2273
TRIUMPH HEALTHCARE SOLUTIONS, LLC
Early Intervention Provider Agency
1650 MARKET ST STE 3600
PHILADELPHIA, PA 19103
Philadelphia County (631) 918-9523
ANTHONY PERILLO LPC
Counselor (Professional)
1650 MARKET ST STE 3600
PHILADELPHIA, PA 19103
Philadelphia County (844) 843-7279
DIANE MARIE COUGHLAN CRNP
Nurse Practitioner
1650 MARKET ST STE 3600
PHILADELPHIA, PA 19103
Philadelphia County (855) 212-2273

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 Destiny Mayo-juratovic's NPI number?

The NPI number for Destiny Mayo-juratovic is 1154860294. It was assigned to this individual provider in the NPPES registry on February 22, 2017.

Where is Destiny Mayo-juratovic located?

Destiny Mayo-juratovic practices at 1650 Market St Ste 3600, Philadelphia, PA 19103. The listed phone number is (855) 212-2273.

What is Destiny Mayo-juratovic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Destiny Mayo-juratovic enrolled in Medicare?

Yes. Destiny Mayo-juratovic is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Destiny Mayo-juratovic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Destiny Mayo-juratovic reassigns Medicare benefits to Monogram Health Professional Services PC (Brentwood, TN). 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 Destiny Mayo-juratovic'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 Destiny Mayo-juratovic was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.