MARY ELLEN SPOHN (MPA-C) – Medical Physician Assistant, NPI 1497175996

MARY ELLEN SPOHN (MPA-C) is a healthcare provider. based in Teaneck, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MPA-C. They hold a License No. 25MP00322800 (NJ). The NPI Number for MARY ELLEN SPOHN (MPA-C) is 1497175996

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELLEN SPOHN (MPA-C)
NPI
1497175996
Phone
(201) 833-9500
Address
111 GALWAY PL 300
Enumeration Date
23 April 2014
Last Update Date
10 April 2025

Doctor Profile

Medical School Name
MERCY COLLEGE
Secondary Phone
8453488880
Graduation Year
2013 (13 years ago)
PAC ID
3274833447
Group Practice PAC ID
2668485046
Professional Enrollment ID
I20231204000607
Address ID
NY109601912NY160XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for MARY ELLEN SPOHN (MPA-C)

  • 111 GALWAY PL 300

    TEANECK, NJ 076663640

    Phone: (201) 833-9500

    Fax: (201) 862-0095

    Type: Mailing

  • 750 VALLEY BROOK AVE

    LYNDHURST, NJ 070711301

    Phone: (201) 896-0900

    Type: Location

  • 3 CENTEROCK RD

    WEST NYACK, NY 109942214

    Phone: (845) 348-2000

    Fax: (201) 862-0095

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Kerecis Limited ($55).

Total Amount

$94

General + Research + Ownership

Payments

2

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151120000986IPhysician AssistantNJTBD
I20231204000607IPhysician AssistantNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
27447Replacement of knee joint, both sides of knee1111$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 07666)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668485046View full group profile
NameSpecialtyState
P S Y C H I A T R YNJ
P S Y C H I A T R YNY
Nurse PractitionerNY
-NY
-NY
Internal MedicineNJ
Psychiatry, NeurologyCT
Nurse PractitionerNY
-NY
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

What NPI should I save for MARY ELLEN SPOHN (MPA-C)?
Save NPI 1497175996 if you need a stable reference for MARY ELLEN SPOHN (MPA-C).
Is MARY ELLEN SPOHN (MPA-C) active in the national directory?
MARY ELLEN SPOHN (MPA-C)'s public NPI profile is in an active state.
What field does MARY ELLEN SPOHN (MPA-C) work in?
You can think of MARY ELLEN SPOHN (MPA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MARY ELLEN SPOHN (MPA-C)'s primary listing?
We display Teaneck, New Jersey because that is what the record indicates for MARY ELLEN SPOHN (MPA-C).
What if Teaneck, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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