MARY ELLEN XAVIER FLANAGAN NP NPI 1710115415

NPI Information

  • NPI: 1710115415
  • Provider Name: MARY ELLEN XAVIER FLANAGAN, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 61 DELANO ST
    PULASKI, NY
    ZIP 13142
  • Phone: (315) 298-6564

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NPI Details

Mary Ellen Xavier Flanagan, NP is a family nurse practitioner in Pulaski, NY with 17 years of experience. Mary Ellen Xavier Flanagan, NP NPI is 1710115415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

61 DELANO ST
PULASKI, NY
ZIP 13142-400
Phone: (315) 298-6564
Fax: (315) 298-3968

The NPI 1710115415 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2009 and was last updated on 3/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyF335962-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1J400012084MEDICARE UPINNEW YORK
203433676MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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