Active NPI
Mary Victorious, CNM
- Advanced Practice Midwife
- Auburn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 002322
- Practice address
- 143 North St Ste 2
Auburn, NY 13021-1852 - Phone
- (315) 252-5028
- Fax
- (315) 252-1587
- NPI assigned
- Aug 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 795713 | NY | |
| Advanced Practice Midwife | 367A00000X | 002322 | NY | Primary |
Addresses
Primary practice location
143 North St Ste 2
Auburn, NY 13021-1852
Mailing address
17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7011
Other names 1
- Mary Kendt
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- State University of New York at Stony Brook, School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
143 N St
Suite 2
Auburn, NY 13021-1852
Phone (315) 252-5028
90 Presidential PLZ
FL 1
Syracuse, NY 13202-2244
Phone (315) 464-5210
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
- Crouse Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 795713 | NY | MD | Registered Nurse |
| 002322 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Community Hospital | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| Auburn Community Hospital | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| University OB/GYN Associates | Current | Accepting new patients |
Locations
77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550
17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434
143 North St
Ste 2
Auburn, NY 13021
Phone (315) 252-5028
17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011
725 Irving Ave
Ste 600
Syracuse, NY 13210
Phone (315) 464-5162
90 Presidential Plz
Fl 1
Syracuse, NY 13202
Phone (315) 464-5210
Interoperability endpoints
- mkendt163003@direct.upstate.edu
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Auburn, NY
- NPI 1194913749
-
- Gynecology Physician
- Syracuse, NY
- NPI 1235170150
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- Internal Medicine Physician
- Auburn, NY
- NPI 1336855683
-
- Foot & Ankle Surgery Podiatrist
- Auburn, NY
- NPI 1467151852
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1255942017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 LANSING ST",
"city": "AUBURN",
"state": "NY",
"postal_code": "130211983",
"telephone_number": "315-255-7011",
"fax_number": "315-255-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 NORTH ST STE 2",
"city": "AUBURN",
"state": "NY",
"postal_code": "130211852",
"telephone_number": "315-252-5028",
"fax_number": "315-252-1587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICTORIOUS",
"first_name": "MARY",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "795713",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NY",
"license": "002322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "KENDT",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.