Individual provider Active NPI

Mary Jane Elizabeth Lloyd, APN-C, CRNP FNP

  • Family Nurse Practitioner
  • Crafton, PA
National Provider Identifier
1649479783
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009423 Issued in PA
Practice address
92 Bradford Ave
Crafton, PA 15205-3150
Phone
(412) 922-2111
Fax
(412) 922-7109
NPI assigned
Jul 17, 2007
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP009423 PA Primary
Registered Nurse 163W00000X RN198889L PA

Addresses

Primary practice location

92 Bradford Ave
Crafton, PA 15205-3150

Mailing address

701 Technology Dr Ste 150
Canonsburg, PA 15317-9531
Phone (125) 312-9024

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
I20080226000543 PA Practitioner - Nurse Practitioner 6305920646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2375 Greentree Rd
Carnegie, PA 15106-4203
Phone (412) 276-1560

92 Bradford Ave
Crafton, PA 15205-3150
Phone (412) 922-2111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN198889LPAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Primary Care Physicians, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Preferred Primary Care Physicians, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Campbell & Philbin Medical Associates, P.C. PastSince Sep 1, 2007 Accepting new patients
Campbell & Philbin Medical Associates, P.C. PastSince Aug 28, 2022 Accepting new patients

Locations

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

92 Bradford Ave
Pittsburgh, PA 15205
Phone (412) 281-2575

Interoperability endpoints

  • Direct secure messaging: maryjanelloydcrnp@preferred.medentdirect.com

Organizations & group practices 4

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 4

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1649479783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECHNOLOGY DR STE 150",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179531",
            "telephone_number": "125-312-9024",
            "fax_number": "412-531-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BRADFORD AVE",
            "city": "CRAFTON",
            "state": "PA",
            "postal_code": "152053150",
            "telephone_number": "412-922-2111",
            "fax_number": "412-922-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "MARY JANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "APN-C, CRNP FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009423",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN198889L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crafton, PA

Sources for this page

Verify at the official NPI Registry.