MARY JEEN NICOLA CRNP
NPI 1407689870
Nurse Practitioner in Irwin, PA
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
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 3
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Nicola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Irwin, PA 15642
- Reassigned Medicare billing, Pennsylvania enrollment
- 10 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.
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, PAExcela Health Latrobe Hospital
Acute Care Hospitals · Latrobe, PAPhysician 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.
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.
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.
Which organization bills Medicare for Mary Nicola's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Nicola reassigns Medicare benefits to Irwin Family Care, PC (Irwin, 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 Mary Nicola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 15 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.
# Mary Jeen Nicola, CRNP · NPI 1407689870
Nurse Practitioner physician in Irwin, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 21, 2024.
## Identity
- **NPI:** 1407689870 (Entity type: Individual)
- **Enumerated:** August 21, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** SP030310 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 905 SPRUCE ST, Irwin, PA 15642-3683
- **Phone:** (724) 864-9595 · **Fax:** (724) 864-9860
## 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:** Irwin Family Care, PC (NPI 1427096577, Irwin, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 22, 2025
- **Other identifiers:** Medicaid 1044722540001 (PA); Other 850277 (PA); Other CA3219 (PA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1407689870) · Data from the CMS NPPES public registry.