MARY A. JAFFE (FNP-BC) – Family Nurse Practitioner, NPI 1497082903
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,469 NURSE PRACTITIONER in PA
Provider Addresses for MARY A. JAFFE (FNP-BC)
301 Grant St Ste 270366
Pittsburgh, PA 152191407
Phone: (800) 924-7811
Fax: (877) 349-1868
Type: Location
5400 EDALBERT DRIVE
CINCINNATI, OH 45239
Phone: (513) 741-3100
Type: Mailing
5400 EDALBERT DR
CINCINNATI, OH 452397604
Phone: (513) 741-3100
Type: Location
440 N BARRANCA AVE # 1801
COVINA, CA 917231722
Phone: (800) 924-7811
Fax: (877) 349-1868
Type: Mailing
7008 SALEM AVE STE 117
LUBBOCK, TX 794242226
Phone: (800) 924-7811
Fax: (877) 349-1868
Type: Location
1760 Abbey Rd Ste 200
East Lansing, MI 488237302
Phone: (800) 924-7811
Fax: (877) 349-1868
Type: Location
312 S 4th St Ste 700
Louisville, KY 402023046
Phone: (800) 924-7811
Fax: (877) 349-1868
Type: Location
21 E State St Ste 200
Columbus, OH 432150109
Phone: (800) 924-7811
Fax: (877) 349-1868
Type: Location
123 S Broad St Ofc 1560
Philadelphia, PA 191091029
Phone: (800) 924-7811
Fax: (877) 349-1868
Type: Location
5400 Edalbert Dr
Cincinnati, OH 452397604
Phone: (513) 741-3100
Type: Location
454 Ohio Pike Unit 38
Cincinnati, OH 452553394
Phone: (513) 981-4201
Fax: (513) 906-4379
Type: Location
330 Innovation Blvd Ste 223
State College, PA 168036611
Phone: (800) 924-7811
Fax: (877) 349-1868
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091222000358 | I | Nurse Practitioner | OH | TBD |
| I20251125001772 | I | Nurse Practitioner | TX | TBD |
| I20260114000665 | I | Nurse Practitioner | PA | TBD |
| I20260116003630 | I | Nurse Practitioner | MI | TBD |
| I20260225003277 | I | Nurse Practitioner | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 15219)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | CA | |
| Internal Medicine | TX | |
| Clinical Psychologist | OH | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | TN | |
| Clinical Social Worker | CA | |
| Nurse Practitioner | TX | |
| Family Practice | GA |
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