Individual provider Active NPI

Mary Useva, PA

  • Physician Assistant
  • Cortland, NY
National Provider Identifier
1629473624
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
018197 Issued in NY
Practice address
111 Port Watson St
Cortland, NY 13045-3185
Phone
(607) 758-6100
Fax
(607) 758-6116
NPI assigned
Nov 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 018197 NY Primary

Addresses

Primary practice location

111 Port Watson St
Cortland, NY 13045-3185

Mailing address

111 Port Watson St
Cortland, NY 13045-3185
Phone (607) 758-6100

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
I20150106001590 NY Practitioner - Physician Assistant 7719200351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Liberty Resources IncGroup PAC ID 4486703352, 82 clinicians
Cortland County County TreasurerGroup PAC ID 3173427028, 17 clinicians

Practice addresses (Care Compare)

1045 James St
Syracuse, NY 13203-2730
Phone 31547244711384

111 Port Watson St
Cortland, NY 13045-3185
Phone (607) 428-5461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cortland County County Treasurer CurrentSince Nov 9, 2025 Accepting new patients
Liberty Resources Inc. CurrentSince Sep 29, 2020 Accepting new patients
Liberty Resources, Inc. CurrentSince Sep 29, 2020 Accepting new patients
Cortland County Health Department Nursing Clinics CurrentSince Nov 9, 2025 Accepting new patients

Locations

111 Port Watson St
Cortland, NY 13045
Phone (607) 753-9326

7 Clayton Ave
Cortland, NY 13045
Phone (607) 758-6100

175 N Winton Rd
Rochester, NY 14610
Phone (585) 288-9230

1045 James St
Syracuse, NY 13203
Phone (315) 425-1004

Interoperability endpoints

  • Direct secure messaging: museva@oswegohealth.hiemail.healtheconnections.org
  • Direct secure messaging: mary.useva.p1@direct.liberty-resources.nextgenshare.com

Organizations & group practices 4

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": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1629473624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PORT WATSON ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453185",
            "telephone_number": "607-758-6100",
            "fax_number": "607-758-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PORT WATSON ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453185",
            "telephone_number": "607-758-6100",
            "fax_number": "607-758-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USEVA",
        "first_name": "MARY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

Verify at the official NPI Registry.