JEAN MARY LLC
NPI 1508640947
Podiatrist - Foot & Ankle Surgery in Camp Hill, PA
About Jean Mary Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEAN MARY LLC (NPI 1508640947) is a healthcare organization registered as a foot & ankle surgery in Camp Hill, Pennsylvania and active in the NPI registry since August 2023. The organization maintains a secondary practice location in Hanover and lists Wanna Stephanie Jean Mary, Podiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jean Mary Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jean Mary LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jean Mary LLC's NPI number?
The NPI number for Jean Mary LLC is 1508640947. It was assigned to this organization in the NPPES registry on August 24, 2023.
Where is Jean Mary LLC located?
Jean Mary LLC is located at 3812 Market St, Camp Hill, PA 17011. The listed phone number is (717) 458-2027.
What is Jean Mary LLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Jean Mary LLC enrolled in Medicare?
Yes. Jean Mary LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jean Mary LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Jean Mary LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jean Mary LLC was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jean Mary Llc · NPI 1508640947
Foot & Ankle Surgery organization in Camp Hill, Pennsylvania. Organization record, active in the CMS NPPES registry since August 24, 2023.
## Identity
- **NPI:** 1508640947 (Entity type: Organization)
- **Enumerated:** August 24, 2023
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Wanna Jean Mary, PODIATRIST
## Practice location
- **Address:** 3812 MARKET ST, Camp Hill, PA 17011-4356
- **Phone:** (717) 458-2027 · **Fax:** (717) 632-1165
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1508640947) · Data from the CMS NPPES public registry.