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

Maryellen Blevins, PA

Individual provider Physician Assistant · NPI 1104937945

Maryellen Blevins, PA is a Physician Assistant in Carthage, New York. Qualified in 1999, 27 years ago. Practices with North Country Orthopaedic Group PC, an 18-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3 Bridge St
Carthage, NY 13619
Phone: (315) 493-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005666 (NY)

Record details

NPI number1104937945
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESFebruary 17, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice North Country Orthopaedic Group Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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