Mary Jeen Nicola, CRNP in Irwin, PA - Medicare Nurse Practitioner

Mary Jeen Nicola, CRNP is a medicare enrolled "Nurse Practitioner" in Irwin, Pennsylvania. Her current practice location is 905 Spruce St, Irwin, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (724) 864-9595.

Mary Jeen Nicola is licensed to practice in Pennsylvania (license number SP030310) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407689870.

Contact Information

	Mary Jeen Nicola, CRNP
	905 Spruce St, Irwin, PA 15642-3683
	(724) 864-9595
	(724) 864-9860

Map and Direction

Provider's Profile

Full Name	Mary Jeen Nicola
Gender	Female
Speciality	Nurse Practitioner
Location	905 Spruce St, Irwin, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407689870
Provider Enumeration Date: 08/21/2024
Last Update Date: 07/22/2025

Medicare PECOS Information:

PECOS PAC ID: 8022534502
Enrollment ID: I20250428003023

Medical Identifiers

Medical identifiers for Mary Jeen Nicola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407689870	NPI	-	NPPES
1044722540001	Medicaid	PA
850277	Other	PA	PA BS
CA3219	Other	PA	PALMETTO GBA - RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP030310 (Pennsylvania)	Primary
363L00000X	Nurse Practitioner	APRN11034854 (Florida)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Jeen Nicola allows following entities to bill medicare on her behalf.

Entity Name	Irwin Family Care, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427096577 PECOS PAC ID: 9638083173 Enrollment ID: O20031118000612

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Jeen Nicola is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mary Jeen Nicola, CRNP 905 Spruce St, Irwin, PA 15642-3683 Ph: (724) 864-9595	Mary Jeen Nicola, CRNP 905 Spruce St, Irwin, PA 15642-3683 Ph: (724) 864-9595

Reviews and Comments

Nurse Practitioner Nurses in Irwin, PA

Siix Mangery, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 N Thompson Ln Ste E, Irwin, PA 15642 Phone: 724-382-4941 Fax: 724-590-5121
Ms. Morgan Fisher, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4044 Pa 130, Suite 200, Irwin, PA 15642 Phone: 724-744-2500
Vincent Golik, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 Spruce St Ste 201, Irwin, PA 15642 Phone: 724-864-9595 Fax: 724-864-9860
Alberta Markilinski, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8775 Norwin Avenue, Irwin, PA 19428 Phone: 866-825-3227 Fax: 484-351-3800
Valerie E Cole, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4044 Route 130 Ste 240, Irwin, PA 15642 Phone: 724-744-2500 Fax: 724-744-3338
Rebecca Lynn Kunkle, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8775 Norwin Ave Ste 108, Irwin, PA 15642 Phone: 724-765-1225 Fax: 724-765-1227
Ms. Cynthia S Schreffler, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4044 Route 130 Ste 200, Irwin, PA 15642 Phone: 724-744-2500 Fax: 724-744-3338

Mary Jeen Nicola, CRNP - Medicare Nurse Practitioner in Irwin, PA