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MARIE DROOGAN CRNP
NPI 1255132791
Nurse Practitioner - Acute Care in Philadelphia, PA

Active since March 21, 2025PECOS Enrolled
1101 CHESTNUT ST FL 9, PHILADELPHIA, PA 19107(215) 955-2050 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marie Droogan Crnp NPPES

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

MARIE DROOGAN CRNP (NPI 1255132791) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP032409) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1255132791
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMARIE DROOGANCredential: CRNP
Location Address1101 CHESTNUT ST FL 9Philadelphia, PA 19107-3612
Mailing Address833 Chestnut St Ste 630Philadelphia, PA 19107-4416 · (215) 955-2050 · Fax (215) 955-2050
Phone(215) 955-2050
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
✔ NPI 1255132791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in PA · SP032409
1101 CHESTNUT ST FL 9, Philadelphia, PA 19107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marie Droogan Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698249753
PECOS Enrollment IDI20260630003036
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 Marie Droogan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jefferson University Physicians
0.2 mi
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
NPI 1326093675 (215) 955-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANEL DORSEY APN
Nurse Practitioner
1101 CHESTNUT ST FL 9
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6996
MS. RENEE M LANGSTAFF PA-C
Physician Assistant (Medical)
1101 CHESTNUT ST FL 9
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5050
HANS FRIEDRICH STABENAU M.D., PH.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
1101 CHESTNUT ST FL 9
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5050
DR. MADELEINE BARKER MD
Internal Medicine (Interventional Cardiology)
1101 CHESTNUT ST FL 9
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5050
JAMES CLEMENTS PA-C
Physician Assistant
1101 CHESTNUT ST FL 9
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5050
DR. RAMSEY KAMEL KALIL MD
Internal Medicine (Cardiovascular Disease)
1101 CHESTNUT ST FL 9
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5050
DR. SAMUEL KELLY MD
Internal Medicine (Cardiovascular Disease)
1101 CHESTNUT ST FL 9
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5050
JANET L CAI M.D.
Internal Medicine (Cardiovascular Disease)
1101 CHESTNUT ST FL 9
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5050

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 Marie Droogan's NPI number?

The NPI number for Marie Droogan is 1255132791. It was assigned to this individual provider in the NPPES registry on March 21, 2025.

Where is Marie Droogan located?

Marie Droogan practices at 1101 Chestnut St Fl 9, Philadelphia, PA 19107. The listed phone number is (215) 955-2050.

What is Marie Droogan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Marie Droogan enrolled in Medicare?

Yes. Marie Droogan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marie Droogan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marie Droogan reassigns Medicare benefits to Jefferson University Physicians (Philadelphia, 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 Marie Droogan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marie Droogan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Marie Droogan 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 Marie Droogan affiliated with any hospitals?

According to CMS data, Marie Droogan is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Marie Droogan was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.