MARY GWYNNE TILLOTSON PMHNP
NPI 1780284869
Nurse Practitioner - Psychiatric/Mental Health in Niagara Falls, NY

Active since October 28, 2020PECOS EnrolledAccepts Medicare Assignment
621 10TH ST, NIAGARA FALLS, NY 14301(716) 278-4541(716) 278-4544 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2022, Jan 7, 2022, Oct 28, 2020 (3 updates tracked since 2020).

About Mary Gwynne Tillotson Pmhnp NPPES

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

MARY GWYNNE TILLOTSON PMHNP (NPI 1780284869) is an individual psychiatric/mental health provider in Niagara Falls, New York, licensed in New York (403249) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Niagara Falls Memorial Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1780284869
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY GWYNNE TILLOTSONCredential: PMHNP
Location Address621 10TH STNiagara Falls, NY 14301-1813
Mailing Address621 10th StNiagara Falls, NY 14301-1813 · (716) 278-4541
Fax(716) 278-4544
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 28, 2020
Last NPPES UpdateJanuary 20, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
NPI 1780284869 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 · 403249
621 10TH ST, Niagara Falls, NY 14301

Other Names 1

Former Name (1)Mary Cohill

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Gwynne Tillotson Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345656419
PECOS Enrollment IDI20210316000578
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
149 services41 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Niagara Falls Memorial Medical Center

Acute Care Hospitals · Niagara Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330065
Location621 Tenth StreetNiagara Falls, NY 14302 · Niagara County
Emergency services Birthing friendly

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14301 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.

Anesthesiology
621 10TH ST
NIAGARA FALLS, NY 14301
Specialist/Technologist (Athletic Trainer)
621 10TH ST
NIAGARA FALLS, NY 14301
Student in an Organized Health Care Education/Training Program
621 10TH ST
NIAGARA FALLS, NY 14301
Nurse Anesthetist, Certified Registered
621 10TH ST
NIAGARA FALLS, NY 14301
Psychiatry & Neurology (Psychiatry)
621 10TH ST
NIAGARA FALLS, NY 14301
Pharmacist
621 10TH ST
NIAGARA FALLS, NY 14301
Psychiatry & Neurology (Psychiatry)
621 10TH ST
NIAGARA FALLS, NY 14301
Counselor (Mental Health)
621 10TH ST
NIAGARA FALLS, NY 14301

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 Tillotson's NPI number?

The NPI number for Mary Tillotson is 1780284869. It was assigned to this individual provider in the NPPES registry on October 28, 2020. The provider is also known as Mary Cohill.

Where is Mary Tillotson located?

Mary Tillotson practices at 621 10th St, Niagara Falls, NY 14301. The listed phone number is (716) 278-4541.

What is Mary Tillotson's specialty?

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

Is Mary Tillotson enrolled in Medicare?

Yes. Mary Tillotson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mary Tillotson affiliated with any hospitals?

According to CMS data, Mary Tillotson is affiliated with Niagara Falls Memorial Medical Center and Mount St. Mary's Hospital & Health Center.

When was this NPI record last updated?

The NPPES record for Mary Tillotson was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.