Mary Fannon
NPI 1043933518 · Acute Care Nurse Practitioner · Philadelphia, PA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Fannon is a Acute Care Nurse Practitioner provider in Philadelphia, PA (NPI 1043933518).
Provider details
- NPI number
- 1043933518
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- SP026285 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-09-20
- Last updated
- 2022-09-20
- Certified
- 2022-09-19
Frequently asked questions
- What is Mary Fannon's NPI number?
- Mary Fannon's National Provider Identifier (NPI) is 1043933518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Fannon's specialty?
- Mary Fannon is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Fannon located?
- Mary Fannon's practice location on file with NPPES is 111 S 11th St, Philadelphia, PA 19107-4824.
- What is Mary Fannon's phone number?
- The practice phone number listed in the NPPES registry for Mary Fannon is (215) 955-6060.
- Does Mary Fannon accept Medicare?
- Mary Fannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Fannon's NPI active?
- Yes — Mary Fannon's NPI (1043933518) is active in the NPPES registry as of the last update on 2022-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.