MARY ST LEDGER NP
NPI 1730593062
Nurse Practitioner - Family in Philadelphia, PA

Q: What is Mary St Ledger's NPI number?

The NPI number for Mary St Ledger is 1730593062. It was assigned to this individual provider in the NPPES registry on June 14, 2014.

Q: What is Mary St Ledger's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary St Ledger was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 14, 2014PECOS Enrolled

125 S 9TH ST, PHILADELPHIA, PA 19107(215) 592-4500(215) 592-4326 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mary St Ledger Np NPPES

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

MARY ST LEDGER NP (NPI 1730593062) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP013810) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730593062

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY ST LEDGERCredential: NP

Location Address125 S 9TH STPhiladelphia, PA 19107-5125

Mailing Address1500 Market St, Lm 500 West TowerPhiladelphia, PA 19102-2100 · (215) 985-2595

Phone(215) 592-4500

Fax(215) 592-4326

Sole ProprietorNo

Enumeration DateJune 14, 2014

Last NPPES UpdateDecember 2, 2025

NPPES CertifiedDecember 2, 2025

✔ NPI 1730593062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP013810

125 S 9TH ST, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary St Ledger Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Mary St Ledger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Public Health Mangement Corporation

Same address

Federally Qualified Health Center (FQHC)

125 S 9TH ST
Philadelphia, PA 19107

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Public Health Management Corporation
100 clinicians in this Medicare group

NPI 1912943457 (215) 592-4500

Project Home

2.2 mi

Federally Qualified Health Center (FQHC)

2144 CECIL B MOORE AVE
Philadelphia, PA 19121

Reassigned Medicare billing, Pennsylvania enrollment
22 clinicians in this Medicare group

NPI 1609122506 (215) 320-6187

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 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 20

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

JOHANNA TROY

Nurse Practitioner (Primary Care)