Mary A. Jaffe, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10865 Issued in OH

Practice address

7008 Salem Ave Ste 117
Lubbock, TX 79424-2226

Phone

(800) 924-7811

Fax

(877) 349-1868

NPI assigned

Nov 5, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, TX, PA, MI, CO, MO, TN7 enrollments

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 7

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Swing Care Provider Group PCGroup PAC ID 0244601904, shared by 6 NPIs, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, 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 and National Provider Directory roles.

• Swing Care Provider Group, P.C.

  • Multi-Specialty Clinic/Center
  • Lubbock, TX
  • NPI 1447971916

  MI, MO, TN, TX

  Medicare reassignment NPD
• Mercy Health Urgent Care LLC

  • Family Medicine Physician
  • Milford, OH
  • NPI 1588390942

  OH

  Medicare reassignment NPD
• Swing Care Provider Group, P.C.

  • Multi-Specialty Clinic/Center
  • Columbus, OH
  • NPI 1376325415

  OH

  Medicare reassignment NPD
• Swing Care Provider Group, PC

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1720930019

  CO

  Medicare reassignment NPD
• Swing Care Provider Group, PC

  • Multi-Specialty Clinic/Center
  • Pittsburgh, PA
  • NPI 1790541415

  PA

  Medicare reassignment NPD
• Swing Care Provider Group, P.C.

  • Multi-Specialty Clinic/Center
  • East Lansing, MI
  • NPI 1548042682
  NPD
• Center for Metabolic and Bariatric Surgery LLC

  • Specialist
  • Cincinnati, OH
  • NPI 1598991838
  NPD (past)
• Swing Care Provider Group PC

  • Multi-Specialty Clinic/Center
  • Henderson, NV
  • NPI 1629834346
  NPD (past)

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1497082903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 1801",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7008 SALEM AVE STE 117",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242226",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Edalbert Dr",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452397604",
            "country_code": "US",
            "telephone_number": "513-741-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "454 Ohio Pike Unit 38",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452553394",
            "country_code": "US",
            "telephone_number": "513-981-4201",
            "fax_number": "513-906-4379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 E State St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432150109",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 S 4th St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023046",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 Abbey Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488237302",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Innovation Blvd Ste 223",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036611",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 S Broad St Ofc 1560",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191091029",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Grant St Ste 270366",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152191407",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "MARY",
        "middle_name": "A.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1215722",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP034209",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "10865",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006613",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704433967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497082903",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Roy G Jacob, MD
• Shalana Jacobi, LPC-S
• Scott C. Jacobs, LPC
• Abhishek Jahagirdar, DDS
• Jaj Cardiology LLC
• Kimberly Lynn Jakeway, NP
• James E. Ryan
• James Hamilton O.D.

• Family Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.