MRS. MARY GRACE REYTA ESTAMPA
NPI 1609578806
Nurse Practitioner - Family in Philadelphia, PA

Active since March 20, 2023PECOS EnrolledAccepts Medicare Assignment
925 CHESTNUT ST, PHILADELPHIA, PA 19107(215) 955-5050 Get Directions Write a Review

NPPES record last updated: April 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2023, Mar 21, 2023 (2 updates tracked since 2023).

About Mrs. Mary Grace Reyta Estampa NPPES

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

MRS. MARY GRACE REYTA ESTAMPA (NPI 1609578806) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP027109) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609578806
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARY GRACE REYTA ESTAMPA
Location Address925 CHESTNUT STPhiladelphia, PA 19107-4216
Mailing Address925 Chestnut StPhiladelphia, PA 19107-4216
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 20, 2023
Last NPPES UpdateApril 1, 20232 updates tracked since enumeration
NPPES CertifiedApril 1, 2023
NPI 1609578806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP027109
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR22203600 (NJ), RN685502 (PA)
925 CHESTNUT ST, Philadelphia, PA 19107

Accepted Insurance

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

Mrs. Mary Grace Reyta Estampa 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 ID4880053248
PECOS Enrollment IDI20230702000050, I20260228000387
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
161 services106 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services63 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
73 services64 patients

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 19

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

Physical Therapy Assistant
925 CHESTNUT ST, SUITE 6F, PHYSICAL THERAPY
PHILADELPHIA, PA 19107
Physical Therapist
925 CHESTNUT ST
PHILADELPHIA, PA 19107
Physical Therapist
925 CHESTNUT ST
PHILA, PA 19107
Internal Medicine (Medical Oncology)
925 CHESTNUT ST, SUITE 320A
PHILADELPHIA, PA 19107
Physical Therapist
925 CHESTNUT ST
PHILADELPHIA, PA 19107
Specialist/Technologist (Athletic Trainer)
925 CHESTNUT ST
PHILADELPHIA, PA 19107
Internal Medicine (Hematology & Oncology)
925 CHESTNUT ST, SUITE 420
PHILADELPHIA, PA 19107
Nurse Practitioner
925 CHESTNUT ST, MEZZANINE
PHILADELPHIA, PA 19107

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 Grace Estampa's NPI number?

The NPI number for Mary Grace Estampa is 1609578806. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Mary Grace Estampa located?

Mary Grace Estampa practices at 925 Chestnut St, Philadelphia, PA 19107. The listed phone number is (215) 955-5050.

What is Mary Grace Estampa's specialty?

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

Is Mary Grace Estampa enrolled in Medicare?

Yes. Mary Grace Estampa 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.

What insurance does Mary Grace Estampa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mary Grace Estampa 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 Mary Grace Estampa affiliated with any hospitals?

According to CMS data, Mary Grace Estampa is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Mary Grace Estampa was last updated on April 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.