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MARY JEEN NICOLA CRNP
NPI 1407689870
Nurse Practitioner in Irwin, PA

Active since August 21, 2024PECOS EnrolledAccepts Medicare Assignment
905 SPRUCE ST, IRWIN, PA 15642(724) 864-9595(724) 864-9860 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jeen Nicola Crnp NPPES

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

MARY JEEN NICOLA CRNP (NPI 1407689870) is an individual nurse practitioner in Irwin, Pennsylvania, licensed in Pennsylvania (SP030310) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Excela Health Westmoreland Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407689870
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY JEEN NICOLACredential: CRNP
Location Address905 SPRUCE STIrwin, PA 15642-3683
Mailing Address905 Spruce StIrwin, PA 15642-3683 · (724) 864-9595 · Fax (724) 864-9860
Phone(724) 864-9595
Fax(724) 864-9860
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 21, 2024
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1407689870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in PA · SP030310✔ Licensed in FL · APRN11034854
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
905 SPRUCE ST, Irwin, PA 15642
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1410 Pellis Rd Ste 1AGreensburg, PA 15601-4700 · Phone (724) 832-7877 · Fax (724) 832-7883
Location 2328 Weldon StLatrobe, PA 15650-1851 · Phone (724) 537-3381

Other Identifiers 3

Medicaid1044722540001PA
Other850277PA · Pa Bs
OtherCA3219PA · Palmetto Gba - Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Jeen Nicola 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.

PECOS PAC ID8022534502
PECOS Enrollment IDI20250428003023
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.

Hospital Affiliations CMS Care Compare 2

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

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390219
LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15642 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 7

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

BEHNAM LEE HATAM CRNP
Nurse Practitioner (Family)
905 SPRUCE ST
IRWIN, PA 15642
Westmoreland County (724) 864-9595
DR. MARK C GOTTRON D.O.
Family Medicine
905 SPRUCE ST, SUITE 201
IRWIN, PA 15642
Westmoreland County (724) 864-9595
BROOKE SALLIT LDN
Dietitian, Registered
905 SPRUCE ST
IRWIN, PA 15642
Westmoreland County (724) 864-9595
JAD SALLIT M.D.
Family Medicine
905 SPRUCE ST
IRWIN, PA 15642
Westmoreland County (724) 864-9595
DR. JAMES Y. LIM M.D.
Family Medicine
905 SPRUCE ST
IRWIN, PA 15642
Westmoreland County (724) 864-9595
ANGELA MERLINO
Physician Assistant
905 SPRUCE ST, SUITE J, EXCELA SQUARE
IRWIN, PA 15642
Westmoreland County (724) 864-9595
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Family Medicine
905 SPRUCE ST
IRWIN, PA 15642
Westmoreland County (724) 864-9595

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 Nicola's NPI number?

The NPI number for Mary Nicola is 1407689870. It was assigned to this individual provider in the NPPES registry on August 21, 2024.

Where is Mary Nicola located?

Mary Nicola practices at 905 Spruce St, Irwin, PA 15642. The listed phone number is (724) 864-9595.

What is Mary Nicola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Nicola enrolled in Medicare?

Yes. Mary Nicola 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.

Is Mary Nicola affiliated with any hospitals?

According to CMS data, Mary Nicola is affiliated with Excela Health Westmoreland Regional Hospital and Excela Health Latrobe Hospital.

When was this NPI record last updated?

The NPPES record for Mary Nicola was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.