MARY MONTEFUSCO ACNP-BC
NPI 1063671972
Nurse Practitioner - Acute Care in New York, NY
About Mary Montefusco Acnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY MONTEFUSCO ACNP-BC (NPI 1063671972) is an individual acute care provider in New York, New York, licensed in New York (430358) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Montefusco Acnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Montefusco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 248 clinicians in this Medicare group
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 428 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10065
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 Montefusco's NPI number?
The NPI number for Mary Montefusco is 1063671972. It was assigned to this individual provider in the NPPES registry on June 5, 2008.
Where is Mary Montefusco located?
Mary Montefusco practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-6939.
What is Mary Montefusco's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Mary Montefusco enrolled in Medicare?
Yes. Mary Montefusco 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.
Which organizations bill Medicare for Mary Montefusco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Montefusco reassigns Medicare benefits to 2 organizations: Mskcc Clinical Practice Plan (New York, NY) and Memorial Hematology Lymphoma Group (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Montefusco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Montefusco was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mary Montefusco, ACNP-BC · NPI 1063671972
Acute Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 5, 2008.
## Identity
- **NPI:** 1063671972 (Entity type: Individual)
- **Enumerated:** June 5, 2008
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 430358 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10065-6007
- **Phone:** (212) 639-6939
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mskcc Clinical Practice Plan (NPI 1588789341, New York, NY); Memorial Hematology Lymphoma Group (NPI 1891766366, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** June 5, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1063671972) · Data from the CMS NPPES public registry.