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MARY JAYNE NICK CRNP
NPI 1245630433
Nurse Practitioner - Family in Clarion, PA

Active since August 26, 2014PECOS Enrolled
30 PINNACLE DR, CLARION, PA 16214(814) 223-9900(814) 223-9910 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 12, 2025, Aug 8, 2022, Jul 29, 2022 (3 updates tracked since 2022).

About Mary Jayne Nick Crnp NPPES

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

MARY JAYNE NICK CRNP (NPI 1245630433) is an individual family provider in Clarion, Pennsylvania, licensed in Pennsylvania (SP014079) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245630433
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY JAYNE NICKCredential: CRNP
Location Address30 PINNACLE DRClarion, PA 16214-3800
Mailing Address100 Shenango AveSharon, PA 16146-1503 · (814) 223-9900 · Fax (814) 223-9910
Phone(814) 223-9900
Fax(814) 223-9910
Sole ProprietorYes
Enumeration DateAugust 26, 2014
Last NPPES UpdateFebruary 11, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2026
✔ NPI 1245630433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP014079
30 PINNACLE DR, Clarion, PA 16214
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Jayne Nick 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16214 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

LESLIE WALTERS
Nurse Practitioner
30 PINNACLE DR, SUITE 301
CLARION, PA 16214
Clarion County (814) 226-1820
OLIVIA RUTH SHINGLEDECKER RDH
Dental Hygienist
30 PINNACLE DR
CLARION, PA 16214
Clarion County (814) 223-9906
MRS. SARAH GIRARDI
Nurse Practitioner (Family)
30 PINNACLE DR, #301
CLARION, PA 16214
Clarion County (814) 226-1820
BRENDA DAUGHERTY-SHRIVASTAVA
Counselor (Professional)
30 PINNACLE DR
CLARION, PA 16214
Clarion County (814) 223-9914
TERRY LOGAN LCSW
Social Worker (Clinical)
30 PINNACLE DR
CLARION, PA 16214
Clarion County (814) 223-9900
AUDREY ELIZABETH KLINE LPC
Counselor (Mental Health)
30 PINNACLE DR
CLARION, PA 16214
Clarion County (814) 223-9914
JOHNNA DANAE RAPP
Dental Hygienist
30 PINNACLE DR
CLARION, PA 16214
Clarion County (814) 223-9906
MELEIGHA MAGAGNOTTI LPC
Counselor (Professional)
30 PINNACLE DR
CLARION, PA 16214
Clarion County (814) 223-9914

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 Nick's NPI number?

The NPI number for Mary Nick is 1245630433. It was assigned to this individual provider in the NPPES registry on August 26, 2014.

Where is Mary Nick located?

Mary Nick practices at 30 Pinnacle Dr, Clarion, PA 16214. The listed phone number is (814) 223-9900.

What is Mary Nick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Nick enrolled in Medicare?

Yes. Mary Nick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Nick was last updated on February 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.