MRS. MARY SUSAN MCMULLEN CRNP
NPI 1194301614
Nurse Practitioner - Family in Philadelphia, PA
About Mrs. Mary Susan Mcmullen Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY SUSAN MCMULLEN CRNP (NPI 1194301614) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP021506) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Mary Susan Mcmullen Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Mcmullen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19114
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Aria Health Physician Services
- 490 clinicians in this Medicare group
Philadelphia, PA 19124
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Methodist Associates In Healthcare, Inc
- 600 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jefferson Health- Northeast
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19114 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mcmullen's NPI number?
The NPI number for Mary Mcmullen is 1194301614. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Mary Mcmullen located?
Mary Mcmullen practices at 3998 Red Lion Rd Ste 214, Philadelphia, PA 19114. The listed phone number is (215) 612-5050.
What is Mary Mcmullen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Mcmullen enrolled in Medicare?
Yes. Mary Mcmullen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Mcmullen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Mcmullen reassigns Medicare benefits to 2 organizations: Aria Health Physicians Services - Emergency Medicine (Philadelphia, PA) and Methodist Associates In Health Care, Inc (Philadelphia, PA). Each 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 Mcmullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Mcmullen accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mary Mcmullen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mary Mcmullen affiliated with any hospitals?
According to CMS data, Mary Mcmullen is affiliated with Jefferson Health- Northeast.
When was this NPI record last updated?
The NPPES record for Mary Mcmullen was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Mary Susan Mcmullen, CRNP · NPI 1194301614
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1194301614 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP021506 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3998 RED LION RD STE 214, Philadelphia, PA 19114-1440
- **Phone:** (215) 612-5050
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Aria Health Physicians Services - Emergency Medicine (NPI 1053456079, Philadelphia, PA); Methodist Associates In Health Care, Inc (NPI 1609417872, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1194301614) · Data from the CMS NPPES public registry.