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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: August 02, 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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Medicare Participation & PECOS CMS

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

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.

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
DR. LAURENCE ERIC DOPKIN MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (888) 815-3583
DR. SHILPIKA VARMA MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (917) 634-5311
MARIA ELIZABETH AGUILAR M.D.
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (917) 634-5311

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.

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 15 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.