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

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: October 25, 2026.

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

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 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mary Victorious reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Auburn Community Hospital
0.1 mi
General Acute Care Hospital
17 LANSING ST
Auburn, NY 13021
  • Reassigned Medicare billing, New York enrollment
  • 277 clinicians in this Medicare group
NPI 1093712911 (315) 255-7209
Auburn Memorial Medical Services, PC
0.1 mi
Orthopaedic Surgery
17 LANSING STREET, ATTN: C. MCLOUD
Auburn, NY 13021
  • Reassigned Medicare billing, New York enrollment
  • 249 clinicians in this Medicare group
NPI 1194913749 (315) 567-0455
University Ob/Gyn Associates
23 mi
Gynecology
736 IRVING AVE, 3 WEST TOWER
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 66 clinicians in this Medicare group
NPI 1235170150 (315) 470-7575

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 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

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

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.

Which organizations bill Medicare for Mary Victorious's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Victorious reassigns Medicare benefits to 3 organizations: Auburn Community Hospital (Auburn, NY), Auburn Memorial Medical Services, PC (Auburn, NY) and University Ob/Gyn Associates (Syracuse, NY). 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 Victorious's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 9 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.