Mary Victorious, CNM
NPI 1255942017ActiveIndividual· Advanced Practice Midwife· Auburn, NY
Advanced Practice Midwife (CNM) in Auburn, New York, trained at State University of New York at Stony Brook, School of Medicine (class of 2024). Enrolled in Medicare as practitioner - certified nurse midwife (cnm).
Overview
| NPI | 1255942017 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNM |
| Sole proprietor | No |
| NPI issued | Aug 13, 2020 |
| Last updated in NPPES | Jan 16, 2026 |
| Certified by provider | Jan 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Advanced Practice Midwife Primary | 367A00000X | 002322 | NY |
| Registered Nurse | 163W00000X | 795713 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Nurse Midwife (Cnm) (NY) |
|---|
Education and affiliations
| Medical school | State University of New York at Stony Brook, School of Medicine |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Certified Nurse Midwife (Cnm) |
Medical groups
- Auburn Memorial Medical Services PCAuburn, NY · 118 clinicians
- University OB/GYN AssociatesSyracuse, NY · 39 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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