MARYELLEN BLEVINS PA
NPI 1104937945
Physician Assistant in Carthage, NY

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
3 BRIDGE ST., CARTHAGE, NY 13619(315) 493-3333 Get Directions Write a Review

NPPES record last updated: February 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maryellen Blevins Pa NPPES

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

MARYELLEN BLEVINS PA (NPI 1104937945) is an individual physician assistant in Carthage, New York, licensed in New York (005666) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1104937945
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARYELLEN BLEVINSCredential: PA
Location Address3 BRIDGE ST.Carthage, NY 13619
Mailing Address1001 West St.Carthage, NY 13619 · (315) 493-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 17, 2014
NPI 1104937945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 005666
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3 BRIDGE ST., Carthage, NY 13619

Other Identifiers 1

Medicare UPINS67983NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Maryellen Blevins Pa 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.

PECOS PAC ID6002890159
PECOS Enrollment IDI20040616000246
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

Lewis County General Hospital

Critical Access Hospitals · Lowville, NY
OwnershipGovernment - Local
CMS Certification Number331317
Location7785 North State StreetLowville, NY 13367 · Lewis County
Emergency services

Carthage Area Hospital, Inc

Critical Access Hospitals · Carthage, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331318
Location1001 West StreetCarthage, NY 13619 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13619 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Maryellen Blevins's NPI number?

The NPI number for Maryellen Blevins is 1104937945. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Maryellen Blevins located?

Maryellen Blevins practices at 3 Bridge St., Carthage, NY 13619. The listed phone number is (315) 493-3333.

What is Maryellen Blevins's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maryellen Blevins enrolled in Medicare?

Yes. Maryellen Blevins 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.

Is Maryellen Blevins affiliated with any hospitals?

According to CMS data, Maryellen Blevins is affiliated with Samaritan Medical Center, Lewis County General Hospital and Carthage Area Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Maryellen Blevins was last updated on February 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.