Mary Fannon
Acute Care Nurse Practitioner · Philadelphia, PA
Mary Fannon is an acute care nurse practitioner with a practice address in Philadelphia, Pennsylvania, and NPI 1043933518, issued on Sep 20, 2022. Check the license (Pennsylvania SP026285, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mary Fannon
- Primary taxonomy
- Acute Care Nurse Practitioner 363LA2100X
- License number
- SP026285 PA
Self-reported in NPPES; status is on the state search - Practice location
- 111 S 11TH St, Philadelphia, PA 19107
- Phone
- (215) 955-6060
- Enumerated
- Sep 20, 2022
- Record last updated
- Sep 20, 2022
- Medicare enrollment
- Enrolled (PECOS I20221101003420); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest acute care nurse practitioner records → All 1,283 in Pennsylvania → Look up another NPI →
Also registered at 111 S 11TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Mary Fannon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
Search for license SP026285Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Jefferson University PhysiciansPhiladelphia, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mary Fannon among 1,283 acute care nurse practitioner records in Pennsylvania
Mary Fannon is one of 1,283 acute care nurse practitioner records with a practice address in Pennsylvania. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 68% of them.
- NPI issued2022 · 68% of these records are older, 24% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2022 · median 2019 among the 841 with a school on file
- Record last updated2022 · 47% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LA2100X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
562 acute care nurse practitioner records list a practice address in Philadelphia
They are 562 of the 42,849 NPPES records with a practice address in Philadelphia, and 1,283 acute care nurse practitioner records in Pennsylvania.
All 1,283 in Pennsylvania → Every provider in Philadelphia → Acute Care Nurse Practitioner nationwide →
The 8 acute care nurse practitioner records with the nearest ZIP codes
- Suzanne Barron, NPPhiladelphia, PA 191071295709145
- Naveena Bushan, NPPhiladelphia, PA 191071952309007
- Melissa Callans, CRNPPhiladelphia, PA 191071326101858
- Regina Gismondi, APRN,BCPhiladelphia, PA 191071881871051
- Pamela Gupta, CRNPPhiladelphia, PA 191071376837385
- Diane Hoffman, CRNPPhiladelphia, PA 191071871761783
- Shawn Mangan, CRNPPhiladelphia, PA 191071316175474
- Tracey Ann Mitchell, CRNPPhiladelphia, PA 191071619160116
Common questions
What is Mary Fannon's NPI number?
Mary Fannon's National Provider Identifier (NPI) is 1043933518, issued on Sep 20, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Mary Fannon located?
The NPPES record lists a practice address at 111 S 11TH St, Philadelphia, PA, 19107. Phone: (215) 955-6060. Providers update this record themselves, so call before visiting.
How can I verify Mary Fannon's license?
NPPES lists Pennsylvania license number SP026285, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.