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DR. MARY ELLEN PIKULSKI DO
NPI 1073774220
Family Medicine in Intercourse, PA

Active since June 20, 2008Opted out of Medicare · through Mar 7, 2028
PO BOX 536, INTERCOURSE, PA 17534(610) 456-7027(610) 424-7614 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 2, 2023, Feb 6, 2021, Sep 21, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Mary Ellen Pikulski Do NPPES

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

DR. MARY ELLEN PIKULSKI DO (NPI 1073774220) is an individual family medicine provider in Intercourse, Pennsylvania, licensed in Pennsylvania (OS015519) and active in the NPI registry since June 2008. She has opted out of Medicare through March 7, 2028.

NPPES Registry Identity

NPI1073774220
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARY ELLEN PIKULSKICredential: DO
Location AddressPO BOX 536Intercourse, PA 17534-0536
Mailing AddressPo Box 536Intercourse, PA 17534-0536 · (610) 456-7027 · Fax (610) 424-7614
Phone(610) 456-7027
Fax(610) 424-7614
Sole ProprietorYes
Enumeration DateJune 20, 2008
Last NPPES UpdateFebruary 12, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1073774220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · OS015519✔ Licensed in PA · 0T012377
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
PO BOX 536, Intercourse, PA 17534
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Other Identifiers 1

Medicaid102651167PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mary Ellen Pikulski Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 7, 2022 through March 7, 2028.

Opt-Out Effective DateMarch 7, 2022
Opt-Out In Effect ThroughMarch 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Pikulski's NPI number?

The NPI number for Mary Pikulski is 1073774220. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Mary Pikulski located?

Mary Pikulski practices at PO Box 536, Intercourse, PA 17534. The listed phone number is (610) 456-7027.

What is Mary Pikulski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Pikulski enrolled in Medicare?

No. Mary Pikulski has opted out of Medicare through March 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Pikulski was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.