1. Home
  2. Directory
  3. New York
  4. Port Washington
  5. Physician Assistant
  6. NPI Profile

MS. MARY C NOONAN RPA-C
NPI 1538452149
Physician Assistant in Port Washington, NY

Active since May 16, 2011PECOS Enrolled
79 AVENUE C, PORT WASHINGTON, NY 11050(516) 439-6912 Get Directions Write a Review

NPPES record last updated: April 26, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Mary C Noonan Rpa-c NPPES

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

MS. MARY C NOONAN RPA-C (NPI 1538452149) is an individual physician assistant in Port Washington, New York, licensed in New York (0070781) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538452149
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MARY C NOONANCredential: RPA-C
Location Address79 AVENUE CPort Washington, NY 11050-4210
Mailing Address79 Avenue CPort Washington, NY 11050-2401 · (516) 439-6912
Phone(516) 439-6912
Sole ProprietorYes
Enumeration DateMay 16, 2011
Last NPPES UpdateApril 26, 2016
✔ NPI 1538452149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 0070781
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
79 AVENUE C, Port Washington, NY 11050
Open in Google Maps ↗

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 C Noonan Rpa-c 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 11050 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Noonan's NPI number?

The NPI number for Mary Noonan is 1538452149. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Mary Noonan located?

Mary Noonan practices at 79 Avenue C, Port Washington, NY 11050. The listed phone number is (516) 439-6912.

What is Mary Noonan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Noonan enrolled in Medicare?

Yes. Mary Noonan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Noonan was last updated on April 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.