MARY VICTORIOUS CNM
NPI 1255942017
Advanced Practice Midwife in Auburn, NY

Q: What is Mary Victorious's NPI number?

The NPI number for Mary Victorious is 1255942017. It was assigned to this individual provider in the NPPES registry on August 13, 2020. The provider is also known as Mary Kendt Cnm.

Q: What is Mary Victorious's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Victorious was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 13, 2020PECOS EnrolledAccepts Medicare Assignment

143 NORTH ST STE 2, AUBURN, NY 13021(315) 252-5028(315) 252-1587 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2026, Nov 26, 2025, Dec 16, 2024 and 2 more (5 updates tracked since 2020).

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About Mary Victorious Cnm NPPES

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

MARY VICTORIOUS CNM (NPI 1255942017) is an individual advanced practice midwife in Auburn, New York, licensed in New York (002322) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2024).

NPPES Registry Identity

NPI1255942017

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMARY VICTORIOUSCredential: CNM

Location Address143 NORTH ST STE 2Auburn, NY 13021-1852

Mailing Address17 Lansing StAuburn, NY 13021-1983 · (315) 255-7011 · Fax (315) 255-7099

Phone(315) 252-5028

Fax(315) 252-1587

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2024

Enumeration DateAugust 13, 2020

Last NPPES UpdateJanuary 16, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2026

✔ NPI 1255942017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in NY · 002322

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedRegistered NurseTaxonomy 163W00000X · License 795713 (NY)

143 NORTH ST STE 2, Auburn, NY 13021

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Other Names 1

Former Name (1)Mary Kendt Cnm

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 Victorious Cnm 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 ID4880120690

PECOS Enrollment IDI20241203004433

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.

Hospital Affiliations CMS Care Compare 2

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

Crouse Hospital

Acute Care Hospitals · Syracuse, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330203

Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330241

Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13021 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.

Other Providers at the Same Location NPPES 2

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

DR. MARK G MARTENS MD

Obstetrics & Gynecology

143 NORTH ST STE 2
AUBURN, NY 13021

Cayuga County (315) 252-5028

KYLEIGH STORRS

Physician Assistant

143 NORTH ST STE 2
AUBURN, NY 13021

Cayuga County (315) 252-5028

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 Victorious's NPI number?

The NPI number for Mary Victorious is 1255942017. It was assigned to this individual provider in the NPPES registry on August 13, 2020. The provider is also known as Mary Kendt Cnm.

Where is Mary Victorious located?

Mary Victorious practices at 143 North St Ste 2, Auburn, NY 13021. The listed phone number is (315) 252-5028.

What is Mary Victorious's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Mary Victorious enrolled in Medicare?

Yes. Mary Victorious 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 Victorious affiliated with any hospitals?

According to CMS data, Mary Victorious is affiliated with Crouse Hospital and University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Mary Victorious was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.