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

Mary Victorious, CNM

Individual provider Registered Nurse · NPI 1255942017

Mary Victorious, CNM is registered under Certified Nurse Midwife (CNM) in Auburn, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2024, 2 years ago. Practices with University OB/GYN Associates, a 36-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

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Practice location Address checks out

143 N St Ste 2
Auburn, NY 13021-1852
Phone: (315) 252-5028
Fax: (315) 252-1587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 002322 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 795713 (NY)

Record details

NPI number1255942017
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorNo
NPI enumeratedAugust 13, 2020
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice University Ob/Gyn Associates — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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