MARY LOU POPOLIZIO NP
NPI 1720005713
Nurse Practitioner - Pediatrics in Rochester, NY

Active since July 16, 2006PECOS Enrolled
1425 PORTLAND AVE, RGPA, ROCHESTER, NY 14621(585) 922-2575 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Lou Popolizio Np NPPES

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

MARY LOU POPOLIZIO NP (NPI 1720005713) is an individual pediatrics provider in Rochester, New York, licensed in New York (277948) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720005713
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY LOU POPOLIZIOCredential: NP
Location Address1425 PORTLAND AVE, RGPARochester, NY 14621-3001
Mailing Address1425 Portland AveRochester, NY 14621-3001 · (585) 922-2575
Sole ProprietorNo
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 5, 2012
NPI 1720005713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in NY · 277948
1425 PORTLAND AVE, Rochester, NY 14621

Other Names 1

Former Name (1)Mary Lou Pulcino Pnp

Other Identifiers 1

Medicaid02565222NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Lou Popolizio Np 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 14621 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.

Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621

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 Lou Popolizio's NPI number?

The NPI number for Mary Lou Popolizio is 1720005713. It was assigned to this individual provider in the NPPES registry on July 16, 2006. The provider is also known as Mary Lou Pulcino Pnp.

Where is Mary Lou Popolizio located?

Mary Lou Popolizio practices at 1425 Portland Ave Rgpa, Rochester, NY 14621. The listed phone number is (585) 922-2575.

What is Mary Lou Popolizio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Mary Lou Popolizio enrolled in Medicare?

Yes. Mary Lou Popolizio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Lou Popolizio was last updated on June 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.