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

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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