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MARY ELLEN BROWN FNP
NPI 1073794814
Nurse Practitioner - Family in Lackawanna, NY

Active since November 20, 2007PECOS Enrolled
2600 SOUTHPARK AVENUE, LACKAWANNA, NY 14218(716) 822-2028(716) 822-2029 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Ellen Brown Fnp NPPES

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

MARY ELLEN BROWN FNP (NPI 1073794814) is an individual family provider in Lackawanna, New York, licensed in New York (F335096-1) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073794814
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY ELLEN BROWNCredential: FNP
Location Address2600 SOUTHPARK AVENUELackawanna, NY 14218-1504
Mailing Address2600 Southpark AvenueLackawanna, NY 14218-1504 · (716) 822-2028 · Fax (716) 822-2029
Phone(716) 822-2028
Fax(716) 822-2029
Sole ProprietorNo
Enumeration DateNovember 20, 2007
Last NPPES UpdateApril 6, 2017
✔ NPI 1073794814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F335096-1
2600 SOUTHPARK AVENUE, Lackawanna, NY 14218
Open in Google Maps ↗

Other Identifiers 5

Other9514408NY · Independent Health
Other00028208101NY · Univera
Medicare PINA400147939NY
Other000529830001NY · Blue Cross
Medicaid01075516NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ellen Brown Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14218 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%22 patients5/55-star benchmark: 100%
Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
100%25 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%22 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%91 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%56 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

PERVEZ ALI KHAN M.D.
General Practice
2600 SOUTHPARK AVENUE
LACKAWANNA, NY 14218
Erie County (716) 822-2028

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 Ellen Brown's NPI number?

The NPI number for Mary Ellen Brown is 1073794814. It was assigned to this individual provider in the NPPES registry on November 20, 2007.

Where is Mary Ellen Brown located?

Mary Ellen Brown practices at 2600 Southpark Avenue, Lackawanna, NY 14218. The listed phone number is (716) 822-2028.

What is Mary Ellen Brown's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Ellen Brown enrolled in Medicare?

Yes. Mary Ellen Brown is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Ellen Brown was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.