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

MS. Maryellen Blank, NP

Individual provider Adult Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1609930015

MS. Maryellen Blank, NP is a Nurse Practitioner in Bay Shore, New York. Qualified in 1991, 35 years ago. Practices with Catholic Charities of the Diocese of Rockville Centre, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
35
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

21 4th Ave
Bay Shore, NY 11706-7908
Phone: (631) 665-6707
Fax: (631) 665-3564
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F400620-01 (NY)
Adult Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0809X · Licence 400620 (NY)

Record details

NPI number1609930015
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedDecember 20, 2006
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Catholic Charities Of The Diocese Of Rockville Centre — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services