Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mary Ellen Brown, FNP

Family Nurse Practitioner in Lackawanna, NY · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073794814

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Registry record

Entity type Individual (Type 1)

Name Mary Ellen Brown

Credential FNP

Sex Female

Practice address 2600 Southpark Avenue, Lackawanna, NY, 14218

Phone (716) 822-2028

Fax (716) 822-2029

Enumeration date Nov 20, 2007

Last updated in NPPES Apr 6, 2017

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License F335096-1 (NY) Primary

FNP · Family Nurse Practitioner: A nurse practitioner certified in family practice across the lifespan. About the FNP credential

Other identifiers

Identifier	Type	State	Issuer
00028208101	Other	NY	UNIVERA
000529830001	Other	NY	BLUE CROSS
01075516	Medicaid	NY	-
9514408	Other	NY	INDEPENDENT HEALTH

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Mary Ellen Brown's NPI record?

Cross-check NPI 1073794814 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1073794814 active?

Yes, as of the latest NPPES snapshot, NPI 1073794814 is active (record last updated 2017-04-06).

Other providers at this practice address

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Pervez Khan General Practice Physician · Lackawanna, NY NPI 1780857854

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-06.