MARY JEPSEN PMHNP-BC
NPI 1720337876
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Active since September 05, 2012PECOS EnrolledAccepts Medicare Assignment
2301 N 29TH ST STE 500, PHILADELPHIA, PA 19132(215) 444-7510(267) 388-4659 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Sep 10, 2020, Dec 5, 2018 and 1 more (4 updates tracked since 2017).

About Mary Jepsen Pmhnp-bc NPPES

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

MARY JEPSEN PMHNP-BC (NPI 1720337876) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP018290) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1720337876
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY JEPSENCredential: PMHNP-BC
Location Address2301 N 29TH ST STE 500Philadelphia, PA 19132-3454
Mailing AddressPo Box 746722Atlanta, GA 30374-6722 · (312) 733-9730 · Fax (773) 866-8014
Fax(267) 388-4659
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 5, 2012
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
✔ NPI 1720337876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in PA · SP018290✔ Licensed in MA · RN2277482
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2277482 (MA), RN699604 (PA)
2301 N 29TH ST STE 500, Philadelphia, PA 19132

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 Jepsen Pmhnp-bc 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 ID5890921530
PECOS Enrollment IDI20180109000043
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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Jepsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
3621 ARAMINGO AVE STE C5
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 196 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 19132 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 8

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

Family Medicine
2301 N 29TH ST STE 500
PHILADELPHIA, PA 19132
Internal Medicine
2301 N 29TH ST STE 500
PHILADELPHIA, PA 19132
Internal Medicine
2301 N 29TH ST STE 500
PHILADELPHIA, PA 19132
Nurse Practitioner (Primary Care)
2301 N 29TH ST STE 500
PHILADELPHIA, PA 19132
Family Medicine
2301 N 29TH ST STE 500
PHILADELPHIA, PA 19132
Nurse Practitioner (Family)
2301 N 29TH ST STE 500
PHILADELPHIA, PA 19132
Internal Medicine
2301 N 29TH ST STE 500
PHILADELPHIA, PA 19132
Nurse Practitioner (Primary Care)
2301 N 29TH ST STE 500
PHILADELPHIA, PA 19132

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 Jepsen's NPI number?

The NPI number for Mary Jepsen is 1720337876. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Where is Mary Jepsen located?

Mary Jepsen practices at 2301 N 29th St Ste 500, Philadelphia, PA 19132. The listed phone number is (215) 444-7510.

What is Mary Jepsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mary Jepsen enrolled in Medicare?

Yes. Mary Jepsen 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 Jepsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jepsen reassigns Medicare benefits to Osh - PA Physicians Group, 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 Jepsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Jepsen was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.