Individual provider Active NPI

Mary Jessell, CRNP

  • Nurse Practitioner
  • Leechburg, PA
National Provider Identifier
1609288083
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP020813 Issued in PA
Practice address
1181 State Route 356
Leechburg, PA 15656-2033
Phone
(724) 845-1145
Fax
(724) 845-1679
NPI assigned
May 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP020813 PA Primary

Addresses

Primary practice location

1181 State Route 356
Leechburg, PA 15656-2033

Mailing address

1181 State Route 356
Leechburg, PA 15656-2033
Phone (724) 845-1145

Other identifiers 1

IdentifierTypeStateIssuer
14673000OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mjessell314653@direct.ahn.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200709002937 PA Practitioner - Nurse Practitioner 2466875497 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP020813PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Military and Veterans Affairs CurrentSince Jun 12, 2025 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
PA Department of Military and Veterans Affairs Current Accepting new patients
Allegheny Clinic CurrentSince Jul 1, 2020 Accepting new patients
Upmc Community Medcine Inc CurrentSince Jan 27, 2025 Accepting new patients
Allegheny Clinic CurrentSince Jul 1, 2020 Accepting new patients
Department of Military Affairs Commonwealth of Pennsylvania CurrentSince Jun 12, 2025 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jan 27, 2025 Accepting new patients
Allegheny Clinic Current Accepting new patients

Locations

1181 State Route 356
Leechburg, PA 15656
Phone (724) 842-1041

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

7060 Highland Dr
Pittsburgh, PA 15206
Phone (412) 665-6706

5140 Liberty Ave
Ste 150
Pittsburgh, PA 15224
Phone (412) 315-0400

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

401 Penn Ave
Scranton, PA 18503
Phone (570) 961-4300

Interoperability endpoints

  • Direct secure messaging: mary.jessell@upmcdirect.com
  • Direct secure messaging: mjessell314653@direct.ahn.org

Organizations & group practices 9

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": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1609288083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 STATE ROUTE 356",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156562033",
            "telephone_number": "724-845-1145",
            "fax_number": "724-845-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 STATE ROUTE 356",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156562033",
            "telephone_number": "724-845-1145",
            "fax_number": "724-845-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSELL",
        "first_name": "MARY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14673000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjessell314653@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1181 State Route 356",
            "city": "Leechburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156562033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leechburg, PA

Sources for this page

Verify at the official NPI Registry.