MARY THERESA PALOVCAK DNP CRNP
NPI 1699170787
Nurse Practitioner - Family in Bala Cynwyd, PA
About Mary Theresa Palovcak Dnp Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY THERESA PALOVCAK DNP CRNP (NPI 1699170787) is an individual family provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (SP014263) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Theresa Palovcak Dnp Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Palovcak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 241 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19004 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 2
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 Palovcak's NPI number?
The NPI number for Mary Palovcak is 1699170787. It was assigned to this individual provider in the NPPES registry on October 31, 2014.
Where is Mary Palovcak located?
Mary Palovcak practices at 225 E City Ave Ste 10, Bala Cynwyd, PA 19004. The listed phone number is (215) 503-8300.
What is Mary Palovcak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Palovcak enrolled in Medicare?
Yes. Mary Palovcak is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Palovcak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Palovcak reassigns Medicare benefits to Jefferson Acute Care Physicians, PC (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 Mary Palovcak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Palovcak accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mary Palovcak 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.
When was this NPI record last updated?
The NPPES record for Mary Palovcak was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 Theresa Palovcak, DNP CRNP · NPI 1699170787
Family physician in Bala Cynwyd, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 31, 2014.
## Identity
- **NPI:** 1699170787 (Entity type: Individual)
- **Enumerated:** October 31, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP014263 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 E CITY AVE STE 10, Bala Cynwyd, PA 19004-1724
- **Phone:** (215) 503-8300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Jefferson Acute Care Physicians, PC (NPI 1730571324, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1699170787) · Data from the CMS NPPES public registry.