Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary L Disilva, CRNP

Individual provider Adult Health Nurse Practitioner · NPI 1124094016

Mary L Disilva, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 1999, 27 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
27
Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

3400 Spruce St 3 Silverstein
Philadelphia, PA 19104-4206
Phone: (215) 662-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP008809 (PA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence SP007091 (PA)

Record details

NPI number1124094016
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedFebruary 28, 2006
Last updated in NPPESMay 10, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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