MARY ELIZABETH MCCUSKER CRNP
NPI 1326338310
Nurse Practitioner - Acute Care in Philadelphia, PA

NPI Status: Active since April 12, 2011

Contact Information

4220 MARKET ST
2ND FLOOR
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 240-6007

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  • Individual
  • Female
  • Nurse Practitioner
  • Acute Care
  • PECOS Enrolled

About MARY MCCUSKER

This page provides the complete NPI Profile along with additional information for Mary Mccusker, a provider established in Philadelphia, Pennsylvania with a medical specialization in Nurse Practitioner, focusing in acute care . The healthcare provider is registered in the NPI registry with number 1326338310 assigned on April 2011. The practitioner's primary taxonomy code is 363LA2100X with license number SP011303 (PA). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1326338310
Provider Name
MARY ELIZABETH MCCUSKER CRNP
Gender
Female
Entity Type
Individual
Location Address
4220 MARKET ST 2ND FLOOR PHILADELPHIA, PA 19104
Location Phone
(215) 240-6007
Mailing Address
4220 MARKET ST 2ND FLOOR PHILADELPHIA, PA 19104
Mailing Phone
(215) 240-6007
Is Sole Proprietor?
No
Enumeration Date
04-12-2011
Last Update Date
05-15-2019
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A nurse practitioner (NP) like Mary Mccusker is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Acute Care

Taxonomy Code
363LA2100X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
SP011303
License State
PA

Medicare Participation & PECOS Enrollment Status

Mary Mccusker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Unknown

  • Other-Enteral and Parenteral (OB005N)

    Parenteral nutrition solution, not otherwise specified, 10 grams lipids (HCPCS:B4185)

    3 DME suppliers used 14 Medicare Claims 322 Services Paid

  • Other-Enteral and Parenteral (OB005N)

    Parenteral nutrition supply kit; premix, per day (HCPCS:B4220)

    3 DME suppliers used 13 Medicare Claims 91 Services Paid

  • Other-Enteral and Parenteral (OB005N)

    Parenteral nutrition administration kit, per day (HCPCS:B4224)

    3 DME suppliers used 13 Medicare Claims 91 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19104 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.69
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $23.17
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.21
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $26.3
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MARY ELIZABETH MCCUSKER CRNP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1326338310
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2346631632
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 6 + 3 + 1 + 6 + 3 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1326338310 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255536496US VASCULAR ACCESS CENTER OF PHILADELPHIA, LLC
Organization
Clinic/Center (Ambulatory Surgical)4220 MARKET ST SECOND FLOOR
PHILADELPHIA, PA 19104
(215) 386-4959
1225212137US VASCULAR ACCESS CENTER OF PHILADELPHIA, LLC
Organization
Clinical Medical Laboratory4220 MARKET ST SECOND FLOOR
PHILADELPHIA, PA 19104
(215) 386-4959
1396074480PERIPHERAL VASCULAR INSTITUTE OF PHILADELPHIA LLC
Organization
Radiologic Technologist (Vascular-Interventional Technology)4220 MARKET ST 2ND FLOOR
PHILADELPHIA, PA 19104
(215) 382-3680
1215132709US VASCULAR ACCESS CENTER OF PHILADELPHIA, LLC
Organization
Clinic/Center (Radiology)4220 MARKET ST SECOND FLOOR
PHILADELPHIA, PA 19104
(215) 386-4959

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326338310, enumerated in the NPI registry as an "individual" on April 12, 2011

The provider is located at 4220 Market St 2nd Floor Philadelphia, Pa 19104 and the phone number is (215) 240-6007

The provider's speciality is Nurse Practitioner with taxonomy code 363LA2100X with a focus in Acute Care

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $92.69 with an average copayment of $23.17 for new patient appointments. Established patients should expect a typical charge of $105.21 and an average copayment of 26.3. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on April 12, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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