MAYLE LUPIA-EANNACE
NPI 1952169435
Physician Assistant in Rome, NY

Active since March 11, 2024PECOS EnrolledAccepts Medicare Assignment
1617 N JAMES ST, ROME, NY 13440(315) 336-8260 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2026, Mar 5, 2026 (2 updates tracked since 2026).

About Mayle Lupia-eannace NPPES

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

MAYLE LUPIA-EANNACE (NPI 1952169435) is an individual physician assistant in Rome, New York, licensed in New York (034773) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1952169435
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAYLE LUPIA-EANNACE
Location Address1617 N JAMES STRome, NY 13440-2852
Mailing Address1617 N James StRome, NY 13440-2852 · (315) 336-8260
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 11, 2024
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
NPI 1952169435 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 · 034773
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.
1617 N JAMES ST, Rome, NY 13440

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

Mayle Lupia-eannace 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 ID4183100308
PECOS Enrollment IDI20260107004077
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.

Hospital Affiliations CMS Care Compare

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13440 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 15

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

Psychiatry & Neurology (Neurology)
1617 N JAMES ST
ROME, NY 13440
Family Medicine
1617 N JAMES ST
ROME, NY 13440
Surgery
1617 N JAMES ST, SUITE 700
ROME, NY 13440
Orthopaedic Surgery
1617 N JAMES ST, SUITE 900
ROME, NY 13440
Surgery
1617 N JAMES ST, SUITE 300
ROME, NY 13440
Urology
1617 N JAMES ST, SUITE 300
ROME, NY 13440
Allergy & Immunology
1617 N JAMES ST, SUITE 550
ROME, NY 13440
Physician Assistant
1617 N JAMES ST
ROME, NY 13440

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 Mayle Lupia-eannace's NPI number?

The NPI number for Mayle Lupia-eannace is 1952169435. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Where is Mayle Lupia-eannace located?

Mayle Lupia-eannace practices at 1617 N James St, Rome, NY 13440. The listed phone number is (315) 336-8260.

What is Mayle Lupia-eannace's specialty?

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

Is Mayle Lupia-eannace enrolled in Medicare?

Yes. Mayle Lupia-eannace 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 Mayle Lupia-eannace affiliated with any hospitals?

According to CMS data, Mayle Lupia-eannace is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Mayle Lupia-eannace was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.