Mary Jeen Nicola, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP030310 Issued in PA

Practice address

905 Spruce St
Irwin, PA 15642-3683

Phone

(724) 864-9595

Fax

(724) 864-9860

NPI assigned

Aug 21, 2024

Last updated

Jul 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Irwin Family Care, PCGroup PAC ID 9638083173, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145
• Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Irwin Family Care, PC

  • Family Medicine Physician
  • Irwin, PA
  • NPI 1427096577

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD

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

• Latrobe Area Hospital

  • Land Ambulance
  • Latrobe, PA
  • NPI 1013942929

  Hospital

  Care Compare affiliation
• Latrobe Area Hospital

  • Adolescent and Children Mental Health Clinic/Center
  • Latrobe, PA
  • NPI 1518985167

  Hospital

  Care Compare affiliation
• Latrobe Area Hospital

  • Clinic/Center
  • Latrobe, PA
  • NPI 1609894252

  Hospital

  Care Compare affiliation
• Latrobe Area Hospital

  • Psychiatric Hospital Unit
  • Latrobe, PA
  • NPI 1831116342
  Care Compare affiliation
• Latrobe Area Hospital

  • Adolescent and Children Mental Health Clinic/Center
  • Latrobe, PA
  • NPI 1922025436

  Hospital

  Care Compare affiliation
• Latrobe Area Hospital, Inc.

  dba Laurel Surgical Center

  • Clinic/Center
  • Greensburg, PA
  • NPI 1396186193

  Hospital

  Care Compare affiliation
• Latrobe Area Hospital, Inc.

  • General Acute Care Hospital
  • Latrobe, PA
  • NPI 1821015462
  Care Compare affiliation
• Westmoreland Regional Hospital

  • Psychiatric Hospital Unit
  • Greensburg, PA
  • NPI 1003833526
  Care Compare affiliation
• Westmoreland Regional Hospital

  • Clinic/Center
  • Greensburg, PA
  • NPI 1013934520

  Hospital

  Care Compare affiliation
• Westmoreland Regional Hospital

  dba Excela Health Norwin Medical Commons part of Westmoreland Hospital

  • Clinic/Center
  • North Huntington, PA
  • NPI 1033386677

  Hospital

  Care Compare affiliation
• Westmoreland Regional Hospital

  • Adolescent and Children Mental Health Clinic/Center
  • Greensburg, PA
  • NPI 1104843614

  Hospital

  Care Compare affiliation
• Westmoreland Regional Hospital

  • Adolescent and Children Mental Health Clinic/Center
  • Greensburg, PA
  • NPI 1194742619

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1407689870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SPRUCE ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423683",
            "telephone_number": "724-864-9595",
            "fax_number": "724-864-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SPRUCE ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423683",
            "telephone_number": "724-864-9595",
            "fax_number": "724-864-9860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "328 Weldon St",
            "address_purpose": "LOCATION",
            "city": "Latrobe",
            "state": "PA",
            "postal_code": "156501851",
            "country_code": "US",
            "telephone_number": "724-537-3381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 Pellis Rd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156014700",
            "country_code": "US",
            "telephone_number": "724-832-7877",
            "fax_number": "724-832-7883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOLA",
        "first_name": "MARY",
        "middle_name": "JEEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP030310",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11034854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1044722540001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BS",
            "identifier": "850277",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RAILROAD MEDICARE",
            "identifier": "CA3219",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Niccols Jr.
• Alexander Nichols
• Sarah Nichols
• Corey Nicholson
• Nick Summa LMFT LLC
• Ruba Nicola, M.D.
• Jawdat A Nikoula, M.D.
• Robert W. Nithman, MPT
• Renee Noel
• Ayla Rhodes Nolan

• Nurse Practitioner in Irwin, PA
• Providers in Irwin, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.