Individual provider Active NPI

Marylou Killian, NP

  • Primary Care Nurse Practitioner
  • Margaretville, NY
National Provider Identifier
1154375533
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F331319 Issued in NY
Practice address
42084 State Highway 28
Margaretville, NY 12455-2820
Phone
(845) 586-2631
Fax
(845) 586-2976
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F331319 NY Primary

Addresses

Primary practice location

42084 State Highway 28
Margaretville, NY 12455-2820

Mailing address

42084 State Highway 28
Margaretville, NY 12455-2820
Phone (845) 586-2631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040529000079 NY Practitioner - Nurse Practitioner 1557342052 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

1561 Route 9W
Lake Katrine, NY 12449-5410
Phone (845) 231-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F331319NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Exigence Medical of Binghamton PLLC CurrentSince Feb 1, 2016 Accepting new patients
Emergency Physician Services of New York, P.C. CurrentSince Dec 18, 2010 Accepting new patients
Optum Medical Care, P.C. CurrentSince May 10, 2021 Accepting new patients
Optum Medical Care, P.C. CurrentSince May 10, 2021 Accepting new patients
Hudson Valley Emergency Medicine PLLC Past Accepting new patients
Mount Kisco Medical Group Past Accepting new patients
Saint Francis Hospital / Medicine Past Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

42084 State Highway 28
Margaretville, NY 12455
Phone (845) 334-2819

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

6734 Route 9
Rhinebeck, NY 12572
Phone (845) 876-3202

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: mkillian145162@direct.optum.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154375533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42084 STATE HIGHWAY 28",
            "city": "MARGARETVILLE",
            "state": "NY",
            "postal_code": "124552820",
            "telephone_number": "845-586-2631",
            "fax_number": "845-586-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42084 STATE HIGHWAY 28",
            "city": "MARGARETVILLE",
            "state": "NY",
            "postal_code": "124552820",
            "telephone_number": "845-586-2631",
            "fax_number": "845-586-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIAN",
        "first_name": "MARYLOU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F331319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margaretville, NY

Sources for this page

Verify at the official NPI Registry.