Individual provider Active NPI

Mary Ann Patterson, D.P.M

  • Podiatrist
  • Wayne, PA
National Provider Identifier
1356758288
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006597 Issued in PA
Practice address
237 N Aberdeen Ave FL 1
Wayne, PA 19087-3537
Phone
(717) 293-9383
Fax
(610) 293-0409
NPI assigned
Jul 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC006597 PA Primary

Addresses

Primary practice location

237 N Aberdeen Ave FL 1
Wayne, PA 19087-3537

Mailing address

237 N Aberdeen Ave FL 1
Wayne, PA 19087-3537
Phone (717) 293-9383

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170726001077 PA Practitioner - Podiatry 8628362266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifecare Podiatry, P.C.Group PAC ID 1951290279, 8 clinicians

Practice addresses (Care Compare)

237 N Aberdeen Ave
Wayne, PA 19087-3537
Phone (610) 293-9383

Merit-based Incentive Payment System (MIPS)

Final score
94.08 of 100Reported as group
Quality
73.79
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue3142
Removal or shaving of skin growth342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006597PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Podiatry, P.C. Podiatrist CurrentSince Oct 15, 2021 Accepting new patients
Berks Foot and Ankle Surgical Associates, Inc Podiatrist CurrentSince Jul 24, 2017 Accepting new patients
Berks Foot and Ankle Surgical Associates, Inc Podiatrist CurrentSince Jul 24, 2017 Accepting new patients

Locations

260 State St
#2
Hamburg, PA 19526
Phone (610) 562-4999

654 Philadelphia Ave
Shillington, PA 19607
Phone (610) 796-9522

237 N Aberdeen Ave
Fl 1
Wayne, PA 19087
Phone (717) 293-9383

237 N Aberdeen Ave
#1
Wayne, PA 19087

237 N Aberdeen Ave
Wayne, PA 19087
Phone (215) 641-5300

Interoperability endpoints

  • Direct secure messaging: mary.ann.patterson.1@12226.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12226/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1356758288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 N ABERDEEN AVE FL 1",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873537",
            "telephone_number": "717-293-9383",
            "fax_number": "610-293-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 N ABERDEEN AVE FL 1",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873537",
            "telephone_number": "717-293-9383",
            "fax_number": "610-293-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MARY ANN",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.