MARYELLEN CARLUCCI
NPI 1528915907
Nurse Practitioner - Psychiatric/Mental Health in Jamestown, NY

Q: What is Maryellen Carlucci's NPI number?

The NPI number for Maryellen Carlucci is 1528915907. It was assigned to this individual provider in the NPPES registry on March 13, 2026.

Q: What is Maryellen Carlucci's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since March 13, 2026PECOS Enrolled

107 INSTITUTE ST, JAMESTOWN, NY 14701(716) 294-3995(833) 974-2031 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Maryellen Carlucci NPPES

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

MARYELLEN CARLUCCI (NPI 1528915907) is an individual psychiatric/mental health provider in Jamestown, New York, licensed in New York (F405890-01) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1528915907

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARYELLEN CARLUCCI

Location Address107 INSTITUTE STJamestown, NY 14701-6628

Mailing Address6386 Transit Rd Apt 348Depew, NY 14043-1125 · (716) 294-3995 · Fax (833) 974-2031

Phone(716) 294-3995

Fax(833) 974-2031

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 13, 2026

NPPES CertifiedMarch 13, 2026

✔ NPI 1528915907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F405890-01

107 INSTITUTE ST, Jamestown, NY 14701

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryellen Carlucci is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143780205

PECOS Enrollment IDI20260916001433

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 14701 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.

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