Individual provider Active NPI

Jessica Rose Mayer, DO

  • Family Medicine Physician
  • Norristown, PA
National Provider Identifier
1225289549
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS015901 Issued in PA
Practice address
2705 Dekalb Pike Ste 202
Norristown, PA 19401
Phone
(610) 275-7240
Fax
(610) 275-0633
NPI assigned
Oct 6, 2008
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS015901 PA Primary

Addresses

Primary practice location

2705 Dekalb Pike Ste 202
Norristown, PA 19401

Mailing address

41 University Dr Ste 300
Newtown, PA 18940-1873

Other practice location 1

3331 Street Rd Ste 140
Bensalem, PA 19020-2052
Phone (215) 245-8873

Other identifiers 3

IdentifierTypeStateIssuer
3871997000OtherPAIBC/KHPE
3856419OtherPACOVENTRY
2680246OtherPABLUE SHIELD

Other names 1

  • Jessica Rose Terrana Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120224000432 PA Practitioner - Family Practice 7315105186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Mary Medical CenterGroup PAC ID 4688588064, 12 clinicians

Practice addresses (Care Compare)

3331 St Rd
Suite 140
Bensalem, PA 19020-2052
Phone (215) 245-8873

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS015901PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Medical Center Family Medicine CurrentSince Aug 19, 2024 Accepting new patients
Suburban Medical Group LLC Family Medicine CurrentSince Oct 1, 2015 Accepting new patients
St Mary Medical Center CurrentSince Aug 19, 2024 Accepting new patients

Locations

2560 Knights Rd
Bensalem, PA 19020
Phone (215) 245-4334

3331 Street Rd
Ste 140
Bensalem, PA 19020
Phone (215) 245-8873

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1437 DeKalb St
Ste 101
Norristown, PA 19401
Phone (610) 279-6621

2705 DeKalb Pike
Ste 202
Norristown, PA 19401
Phone (610) 292-6520

Interoperability endpoints

  • Direct secure messaging: jmayer3678403@direct.trinity-health.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1225289549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 300",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 DEKALB PIKE STE 202",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "19401",
            "telephone_number": "610-275-7240",
            "fax_number": "610-275-0633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3331 Street Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190202052",
            "country_code": "US",
            "telephone_number": "215-245-8873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYER",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC/KHPE",
            "identifier": "3871997000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "3856419",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2680246",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "TERRANA",
            "middle_name": "ROSE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.