Individual provider Active NPI

Mary Jane McDevitt, RN,MSN,CRNP,CDE

  • Nurse Practitioner
  • Springfield, PA
National Provider Identifier
1962826255
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP013663 Issued in PA
Practice address
190 W Sproul Rd
Suite 102
Springfield, PA 19064-2027
Phone
(610) 338-1820
Fax
(610) 338-1825
NPI assigned
Feb 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN207834L PA
Nurse Practitioner 363L00000X SP013663 PA Primary

Addresses

Primary practice location

190 W Sproul Rd
Suite 102
Springfield, PA 19064-2027

Mailing address

190 W Sproul Rd
Suite 102
Springfield, PA 19064-2027
Phone (610) 338-1820

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
I20140722001714 PA Practitioner - Nurse Practitioner 7810113198 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN207834LPAMDNurse Practitioner
SP013663PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
University of Penn - Medical Group CurrentSince Sep 26, 2016 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
University of Penn-Medical Group CurrentSince Nov 15, 2016 Accepting new patients
University of Penn-Medical Group CurrentSince Sep 26, 2016 Accepting new patients
Prospect Health Access Network, Inc. Past Accepting new patients

Locations

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

300 Evergreen Dr
Ste 150
Glen Mills, PA 19342
Phone (610) 328-8830

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

3400 Civic Center Blvd
#4
Philadelphia, PA 19104
Phone (215) 614-1618

3400 Civic Center Blvd
#4W
Philadelphia, PA 19104
Phone (215) 662-2300

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

190 W Sproul Rd
Ste 102
Springfield, PA 19064
Phone (610) 338-1820

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Organizations & group practices 7

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": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1962826255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W SPROUL RD",
            "address_2": "SUITE 102",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642027",
            "telephone_number": "610-338-1820",
            "fax_number": "610-338-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W SPROUL RD",
            "address_2": "SUITE 102",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642027",
            "telephone_number": "610-338-1820",
            "fax_number": "610-338-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDEVITT",
        "first_name": "MARY JANE",
        "credential": "RN,MSN,CRNP,CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN207834L",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP013663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.