Doctor profile · Federal record
Dr. Mary Vaillancourt, CRNP
Adult Health Nurse Practitioner · Nurse Practitioner · Adult Health Nurse Practitioner · Gerontology Nurse Practitioner · Registered Nurse · Registered Nurse · Jamestown, NY
- NPI 1104290915
- 11 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
107 Institute St
Jamestown, NY 147016628
(716) 484-4334
fax (833) 974-2029
Credentials & registration
- NPI registered
- November 2015 — 11 yrs on file
- Profile last updated
- August 31, 2023
- Specialty taxonomy
- 363LA2200X — NUCC code
- State licenses (4)
- New York #F307302 · Pennsylvania #SP015710 · Pennsylvania #RN578441 · New York #362456
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104290915. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
13
Distinct HCPCS
1
Medicare allowed
$124
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
83036 |
Hemoglobin a1c level | 13 | 11 | $10 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 104. This provider delivers 0.1× the peer median.Open Payments
Industry payments received
All-time total
$150
Transactions
7
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 1 | $36.83 | |
| GlaxoSmithKline, LLC. | 2 | $30.97 | |
| Phathom Pharmaceuticals, Inc. | 1 | $27.73 | |
| Teva Pharmaceuticals USA, Inc. | 1 | $19.23 | |
| Merck Sharp & Dohme LLC | 1 | $17.59 | |
| Hologic Sales and Service, LLC | 1 | $17.39 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
87
Patients
28
Total drug cost
$1,530
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 28 | 17 | $284 |
| Gabapentin | Generic | 25 | 0 | $528 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 20 | 11 | $642 |
| Metformin Hcl | Generic | 14 | 0 | $76 |
Frequently asked questions
What is Dr. Mary Vaillancourt's medical specialty?
Dr. Mary Vaillancourt practices Adult Health Nurse Practitioner in Jamestown, NY.
Where does Dr. Mary Vaillancourt practice?
Dr. Mary Vaillancourt practices at 107 Institute St, Jamestown, NY 147016628. Office phone: 7164844334.
What is Dr. Mary Vaillancourt's NPI?
Dr. Mary Vaillancourt's National Provider Identifier (NPI) is 1104290915, issued by NPPES.
What procedures does Dr. Mary Vaillancourt commonly perform?
Top Medicare-reported procedures in 2023: Hemoglobin a1c level (HCPCS 83036). Source: CMS Medicare Physician & Other Practitioners file.