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MS. MARY ALICE POUPON NPP
NPI 1073949509
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since September 16, 2013PECOS Enrolled
109 W 27TH ST RM 5S, NEW YORK, NY 10001(833) 351-8255 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Mary Alice Poupon Npp NPPES

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

MS. MARY ALICE POUPON NPP (NPI 1073949509) is an individual psychiatric/mental health provider in New York, New York, licensed in Connecticut (002708) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073949509
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. MARY ALICE POUPONCredential: NPP
Location Address109 W 27TH ST RM 5SNew York, NY 10001-6208
Mailing Address16 Georges Hill RdNewtown, CT 06470-1036 · (203) 364-7000
Phone(833) 351-8255
Sole ProprietorYes
Enumeration DateSeptember 16, 2013
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1073949509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in CT · 002708✔ Licensed in NY · 7903263
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, Child & AdolescentTaxonomy 364SP0807X · License 002708 (CT), 7903263 (NY)
109 W 27TH ST RM 5S, New York, NY 10001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Alice Poupon Npp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Poupon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Under 21
1.0 mi
Clinic/Center
460 W 41ST
New York, NY 10036
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1053588988 (212) 613-0300
Mccd Fl Psychiatry Services PA
838 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Connecticut enrollment
  • 57 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255

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 10001 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

DR. KENNETH ZON MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (917) 634-5311
MR. JOSEPH IRWIN FRIEDMAN MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
DR. SOPHIA ANNA MONSOUR DO
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
STEPHANIE NEGREY
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
AUSTIN BAILEY DO
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
ALEXANDER RICHARDSON MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (917) 634-5311
DR. LAURENCE ERIC DOPKIN MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (888) 815-3583
JORDAN MICHAEL SUCHY DO
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255

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 Poupon's NPI number?

The NPI number for Mary Poupon is 1073949509. It was assigned to this individual provider in the NPPES registry on September 16, 2013.

Where is Mary Poupon located?

Mary Poupon practices at 109 W 27th St Rm 5S, New York, NY 10001. The listed phone number is (833) 351-8255.

What is Mary Poupon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mary Poupon enrolled in Medicare?

Yes. Mary Poupon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Poupon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Poupon reassigns Medicare benefits to 2 organizations: Under 21 (New York, NY) and Mccd Fl Psychiatry Services PA (Jacksonville, FL). 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 Poupon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Poupon accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and UnitedHealthcare list Mary Poupon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Poupon was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.