Individual provider Active NPI

Mary Eileen Paquet, FNP

  • Family Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1235791369
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344616 Issued in NY
Practice address
1 Bushwick Rd Ste C
Poughkeepsie, NY 12603-3839
Phone
(845) 579-3435
Fax
(845) 243-2100
NPI assigned
Jun 28, 2019
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 344616 NY Primary

Addresses

Primary practice location

1 Bushwick Rd Ste C
Poughkeepsie, NY 12603-3839

Mailing address

1 Bushwick Rd Ste C
Poughkeepsie, NY 12603-3839
Phone (845) 579-3435

Other identifiers 1

IdentifierTypeStateIssuer
05912423MedicaidNY

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
I20190927001252 NY Practitioner - Nurse Practitioner 0547590937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Green NP in Adult Health PLLCGroup PAC ID 4385025295, 7 clinicians

Practice addresses (Care Compare)

1 Bushwick Rd
Suite C
Poughkeepsie, NY 12603-3839
Phone (845) 579-3435

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Green NP in Adult Health PLLC CurrentSince Nov 1, 2023 Accepting new patients
Hudson Valley Primary Medical Care CurrentSince Aug 26, 2019 Accepting new patients
Healthy Minds Counseling Services LCSW PLLC PastSince Nov 1, 2023 Accepting new patients

Locations

1 Bushwick Rd
Ste C
Poughkeepsie, NY 12603
Phone (845) 579-3435

1323 Route 9
Ste 204
Wappingers Fl, NY 12590
Phone (845) 298-7022

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1235791369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BUSHWICK RD STE C",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033839",
            "telephone_number": "845-579-3435",
            "fax_number": "845-243-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BUSHWICK RD STE C",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033839",
            "telephone_number": "845-579-3435",
            "fax_number": "845-243-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAQUET",
        "first_name": "MARY",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05912423",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.