MARY JEPSEN PMHNP-BC - NPI 1720337876 - Nurse Practitioner in Philadelphia, PA

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

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

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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

Phone(215) 444-7510

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

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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

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.

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 7

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

JOCELYN KO MD

Internal Medicine