Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Eustace, AGPCNP

Individual provider Adult Health Nurse Practitioner · NPI 1649622432

Mary Eustace, AGPCNP is a Nurse Practitioner in Lancaster, New York. Qualified in 2016, 10 years ago. Practices with Roswell Park Cancer Institute, a 489-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
Specialties on file
2

Practice location Address checks out

3 Silent Meadow Ln
Lancaster, NY 14086-3430
Phone: (716) 934-4518
Fax: (716) 934-7443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F307759-1 (NY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence F307759-1 (NY)

Record details

NPI number1649622432
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedJuly 6, 2016
Last updated in NPPESFebruary 16, 2021
Certification dateFebruary 16, 2021
Mailing address120 E 2nd St Fl 2, Erie, PA 16507-1537

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Roswell Park Cancer Institute — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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