Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Maryellen Blevins, PA
Physician Assistant in Carthage, NY · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1104937945
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Registry record
Entity type Individual (Type 1)
Name Maryellen Blevins
Credential PA
Sex Female
Practice address 3 Bridge St., Carthage, NY, 13619
Phone (315) 493-3333
Enumeration date Aug 31, 2006
Last updated in NPPES Feb 17, 2014
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 005666 (NY) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
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.
Frequently asked questions
Where does Maryellen Blevins practice?
The practice location on file with NPPES is in Carthage, NY. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Maryellen Blevins?
The National Provider Identifier (NPI) for Maryellen Blevins is 1104937945, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-17.