Active NPI
Mayle Lupia-Eannace
- Physician Assistant
- Rome, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 034773
- Practice address
- 1617 N James St
Rome, NY 13440-2852 - Phone
- (315) 336-8260
- NPI assigned
- Mar 11, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 034773 | NY | Primary |
Addresses
Primary practice location
1617 N James St
Rome, NY 13440-2852
Mailing address
1617 N James St
Rome, NY 13440-2852
Phone (315) 336-8260
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1617 N James St
Rome, NY 13440-2852
Phone (315) 336-8260
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034773 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVHS Inc | Current | Accepting new patients | |
| MVHS Inc | Current | Accepting new patients |
Locations
1617 N James St
Rome, NY 13440
Phone (315) 336-8260
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
Organizations & group practices 2
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.
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Delta Medical
- Internal Medicine Physician
- Rome, NY
- NPI 1700121894
Hospital
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rome, NY
- NPI 1306807193
Hospital
-
dba Regional Wound Care Center
- Clinic/Center
- Rome, NY
- NPI 1356689004
Hospital
-
dba Camden Family Care
- Primary Care Clinic/Center
- Camden, NY
- NPI 1891113965
Hospital
-
- General Acute Care Hospital
- Rome, NY
- NPI 1376546440
-
dba Chestnut Commons
- Physical Therapy Clinic/Center
- Rome, NY
- NPI 1851489330
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1952169435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 N JAMES ST",
"city": "ROME",
"state": "NY",
"postal_code": "134402852",
"telephone_number": "315-336-8260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 N JAMES ST",
"city": "ROME",
"state": "NY",
"postal_code": "134402852",
"telephone_number": "315-336-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPIA-EANNACE",
"first_name": "MAYLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-11",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "034773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.