MS. MARY ELLEN CROLICK RN,ANP
NPI 1508943259
Nurse Practitioner - Adult Health in Syracuse, NY

Active since November 01, 2006PECOS Enrolled
736 IRVING AVE, SYRACUSE, NY 13210(315) 470-7111 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mary Ellen Crolick Rn,anp NPPES

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

MS. MARY ELLEN CROLICK RN,ANP (NPI 1508943259) is an individual adult health provider in Syracuse, New York, licensed in New York (F300253) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508943259
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. MARY ELLEN CROLICKCredential: RN,ANP
Location Address736 IRVING AVESyracuse, NY 13210-1687
Mailing Address8136 E Seneca TpkeManlius, NY 13104-2102 · (315) 682-9420
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1508943259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F300253
736 IRVING AVE, Syracuse, NY 13210

Other Identifiers 1

Medicare ID-Type UnspecifiedCC0147NY

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 Ellen Crolick Rn,anp 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 13210 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Nurse Practitioner (Family)
736 IRVING AVE
SYRACUSE, NY 13210
Nurse Practitioner (Family)
736 IRVING AVE
SYRACUSE, NY 13210
Anesthesiology
736 IRVING AVE
SYRACUSE, NY 13210
Internal Medicine
736 IRVING AVE
SYRACUSE, NY 13210
Radiology (Diagnostic Radiology)
736 IRVING AVE
SYRACUSE, NY 13210
Pharmacist
736 IRVING AVE
SYRACUSE, NY 13210
Emergency Medicine
736 IRVING AVE
SYRACUSE, NY 13210
Nurse Anesthetist, Certified Registered
736 IRVING AVE
SYRACUSE, NY 13210

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 Ellen Crolick's NPI number?

The NPI number for Mary Ellen Crolick is 1508943259. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Mary Ellen Crolick located?

Mary Ellen Crolick practices at 736 Irving Ave, Syracuse, NY 13210. The listed phone number is (315) 470-7111.

What is Mary Ellen Crolick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mary Ellen Crolick enrolled in Medicare?

Yes. Mary Ellen Crolick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Ellen Crolick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.