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MARY ELLEN CONNORS N.P.
NPI 1699736413
Nurse Practitioner - Women's Health in Amsterdam, NY

Active since March 31, 2006PECOS Enrolled
4104 STATE HIGHWAY 30, AMSTERDAM, NY 12010(518) 883-8634(518) 883-8286 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Ellen Connors N.p. NPPES

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

MARY ELLEN CONNORS N.P. (NPI 1699736413) is an individual women's health provider in Amsterdam, New York, licensed in New York (420697) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699736413
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMARY ELLEN CONNORSCredential: N.P.
Location Address4104 STATE HIGHWAY 30Amsterdam, NY 12010-6202
Mailing Address99 E State StGloversville, NY 12078-1203 · (518) 773-5758 · Fax (518) 773-5456
Phone(518) 883-8634
Fax(518) 883-8286
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateMarch 20, 2019
✔ NPI 1699736413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in NY · 420697
4104 STATE HIGHWAY 30, Amsterdam, NY 12010
Open in Google Maps ↗

Other Identifiers 1

Medicaid02756518NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ellen Connors N.p. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Ellen Connors reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
0.1 mi
Obstetrics & Gynecology
4104 STATE HIGHWAY 30
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1467430108 (518) 883-8634
Middletown Medical PC
109 mi
Emergency Medicine
111 MALTESE DR
Middletown, NY 10940
  • Reassigned Medicare billing, New York enrollment
  • 281 clinicians in this Medicare group
NPI 1902855828 (845) 342-4774

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 12010 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 17

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

CHRISTINE E HOLZ RPA-C
Physician Assistant (Medical)
4104 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 883-8620
JAMES HOPPER
Physician Assistant
4104 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 883-8620
MS. JANE BOWLER NPRNC
Nurse Practitioner
4104 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 883-8634
DR. DAVID J EISENBERG M.D.
Pediatrics
4104 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 883-8624
MRS. THERESA INTILLI KLAUSNER MS, APRN, BC, FNP
Nurse Practitioner (Family)
4104 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 883-8620
DR. TARA NOREEN HARBECK DPM
Podiatrist
4104 STATE HIGHWAY 30
PERTH, NY 12010
Montgomery County (518) 883-8862
DR. JAN CARSTENS MD
Family Medicine
4104 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 883-8620
AUBREY A MENDOZA PA-C
Physician Assistant
4104 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 883-8634

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 Connors's NPI number?

The NPI number for Mary Ellen Connors is 1699736413. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Mary Ellen Connors located?

Mary Ellen Connors practices at 4104 State Highway 30, Amsterdam, NY 12010. The listed phone number is (518) 883-8634.

What is Mary Ellen Connors's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Mary Ellen Connors enrolled in Medicare?

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

Which organizations bill Medicare for Mary Ellen Connors's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ellen Connors reassigns Medicare benefits to 2 organizations: (Amsterdam, NY) and Middletown Medical PC (Middletown, 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 Ellen Connors'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 Ellen Connors was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.