MARY KRISTINE ELLIS M.D.
NPI 1134447329
Family Medicine in Oceanside, NY

Active since May 12, 2010PECOS EnrolledAccepts Medicare Assignment
196 MERRICK RD, OCEANSIDE, NY 11572(516) 255-8400 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2022, Sep 9, 2019, Feb 9, 2016 (3 updates tracked since 2016).

About Mary Kristine Ellis M.d. NPPES

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

MARY KRISTINE ELLIS M.D. (NPI 1134447329) is an individual family medicine provider in Oceanside, New York, licensed in New York (277569) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and maintains a secondary practice location in Hempstead.

NPPES Registry Identity

NPI1134447329
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY KRISTINE ELLISCredential: M.D.
Location Address196 MERRICK RDOceanside, NY 11572-1420
Mailing Address1 Healthy WayOceanside, NY 11572-1551 · (516) 255-8400 · Fax (516) 255-8453
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 12, 2010
Last NPPES UpdateDecember 6, 20223 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
NPI 1134447329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NY · 277569 Licensed in FL · ME116438
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.
196 MERRICK RD, Oceanside, NY 11572

Secondary Practice Location 1

Location 1250 Fulton AveHempstead, NY 11550-3917 · Phone (516) 497-7520

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

Mary Kristine Ellis M.d. 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 ID4880838721
PECOS Enrollment IDI20150422001580
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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services27 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330198
LocationOne Healthy WayOceanside, NY 11572 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11572 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Family Medicine (Adult Medicine)
196 MERRICK RD
OCEANSIDE, NY 11572
Obstetrics & Gynecology
196 MERRICK RD
OCEANSIDE, NY 11572
Student in an Organized Health Care Education/Training Program
196 MERRICK RD
OCEANSIDE, NY 11572
Student in an Organized Health Care Education/Training Program
196 MERRICK RD
OCEANSIDE, NY 11572
Surgery
196 MERRICK RD
OCEANSIDE, NY 11572
Student in an Organized Health Care Education/Training Program
196 MERRICK RD
OCEANSIDE, NY 11572
General Acute Care Hospital
196 MERRICK RD
OCEANSIDE, NY 11572
Pediatrics
196 MERRICK RD
OCEANSIDE, NY 11572

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 Ellis's NPI number?

The NPI number for Mary Ellis is 1134447329. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Where is Mary Ellis located?

Mary Ellis practices at 196 Merrick Rd, Oceanside, NY 11572. The listed phone number is (516) 255-8400.

What is Mary Ellis's specialty?

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

Is Mary Ellis enrolled in Medicare?

Yes. Mary Ellis 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 Mary Ellis affiliated with any hospitals?

According to CMS data, Mary Ellis is affiliated with Mount Sinai South Nassau.

When was this NPI record last updated?

The NPPES record for Mary Ellis was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.