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

Mrs. Mary Grace Reyta Estampa

Individual provider Registered Nurse · NPI 1609578806

Mrs. Mary Grace Reyta Estampa is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Cardiology Physicians, LLC, a 46-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
4
Licensed in
NJ, PA
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

925 Chestnut St
Philadelphia, PA 19107-4216
Phone: (215) 955-5050
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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 SP027109 (PA)
Registered Nurse Taxonomy 163W00000X · Licence 26NR22203600 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence RN685502 (PA)

Record details

NPI number1609578806
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESApril 1, 2023
Certification dateApril 1, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cardiology Physicians, Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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