MARY ROSE ABPLANALP N.P.
NPI 1043243926
Nurse Practitioner - Acute Care in Suffern, NY

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
98.07/100
CMS Quality Rating
255 LAFAYETTE AVE, SUFFERN, NY 10901(845) 323-2942(845) 368-5962 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Rose Abplanalp N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ROSE ABPLANALP N.P. (NPI 1043243926) is an individual acute care provider in Suffern, New York, licensed in New York (F332229) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1043243926
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMARY ROSE ABPLANALPCredential: N.P.
Location Address255 LAFAYETTE AVESuffern, NY 10901-4812
Mailing Address20 Grand St Fl 3Warwick, NY 10990-1035 · (845) 323-2942 · Fax (845) 368-5962
Fax(845) 368-5962
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 7, 2006
Last NPPES UpdateNovember 16, 2020
NPPES CertifiedNovember 16, 2020
NPI 1043243926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NY · F332229
255 LAFAYETTE AVE, Suffern, NY 10901

Other Identifiers 1

Medicaid02213014NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Rose Abplanalp N.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789602673
PECOS Enrollment IDI20080118000555, I20260228000988
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
327 services305 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
128 services127 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
125 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
100 services100 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services68 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
67 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
255 LAFAYETTE AVE
SUFFERN, NY 10901
Speech-Language Pathologist
255 LAFAYETTE AVE
SUFFERN, NY 10901
Anesthesiology
255 LAFAYETTE AVE, GOOD SAMARITAN HOSPITAL
SUFFERN, NY 10901
Anesthesiology
255 LAFAYETTE AVE
SUFFERN, NY 10901
Dietitian, Registered
255 LAFAYETTE AVE, NUTRITION SERVICES
SUFFERN, NY 10901
Anesthesiology
255 LAFAYETTE AVE
SUFFERN, NY 10901
Anesthesiology
255 LAFAYETTE AVE
SUFFERN, NY 10901
Dietitian, Registered
255 LAFAYETTE AVE, NUTRITION SERVICES
SUFFERN, NY 10901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Abplanalp's NPI number?

The NPI number for Mary Abplanalp is 1043243926. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Mary Abplanalp located?

Mary Abplanalp practices at 255 Lafayette Ave, Suffern, NY 10901. The listed phone number is (845) 323-2942.

What is Mary Abplanalp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mary Abplanalp enrolled in Medicare?

Yes. Mary Abplanalp is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mary Abplanalp was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.