Mary Jill Vaillancourt, CRNP - Medicare Nurse Practitioner in Jamestown, NY

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Mary Jill Vaillancourt, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Jamestown, New York. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Chautauqua Center, Inc and her current practice location is 107 Institute St, Jamestown, New York. You can reach out to her office (for appointments etc.) via phone at (716) 484-4334.

Mary Jill Vaillancourt is licensed to practice in New York (license number F307302) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104290915.

Contact Information

Mary Jill Vaillancourt, CRNP
107 Institute St,
Jamestown, NY 14701-6628
(716) 484-4334
(833) 974-2029

Map and Direction




Provider's Profile

Full NameMary Jill Vaillancourt
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location107 Institute St, Jamestown, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Jill Vaillancourt graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1104290915
  • Provider Enumeration Date: 11/17/2015
  • Last Update Date: 08/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244531747
  • Enrollment ID: I20160819002082

Medical Identifiers

Medical identifiers for Mary Jill Vaillancourt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104290915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner SP015710 (Pennsylvania)Secondary
363LA2200XNurse Practitioner - Adult Health F307302 (New York)Primary
363LA2200XNurse Practitioner - Adult Health SP015710 (Pennsylvania)Secondary
363LG0600XNurse Practitioner - Gerontology SP015710 (Pennsylvania)Secondary
163W00000XRegistered Nurse RN578441 (Pennsylvania)Secondary
163W00000XRegistered Nurse 362456 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Upmc Chautauqua At WcaJamestown, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Chautauqua Center, Inc721417832643

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Jill Vaillancourt allows following entities to bill medicare on her behalf.
Entity NameWestfield Family Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245263557
PECOS PAC ID: 3375527187
Enrollment ID: O20040617000663
Entity NameFamily Health Medical Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619072204
PECOS PAC ID: 9133221666
Enrollment ID: O20070301000185
Entity NameApogee Medical Group, New York, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841520236
PECOS PAC ID: 4587793294
Enrollment ID: O20100518000664
Entity NameThe Chautauqua Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760747521
PECOS PAC ID: 7214178326
Enrollment ID: O20130805000454
Entity NameGreat Lakes Physician Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730599176
PECOS PAC ID: 6709007701
Enrollment ID: O20141016000108
Entity NameChess Medicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699385021
PECOS PAC ID: 6406260736
Enrollment ID: O20210128001097

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Jill Vaillancourt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Jill Vaillancourt, CRNP
107 Institute St,
Jamestown, NY 14701-6628

Ph: (716) 484-4334		Mary Jill Vaillancourt, CRNP
107 Institute St,
Jamestown, NY 14701-6628

Ph: (716) 484-4334

Reviews and Comments


Nurse Practitioner Nurses in Jamestown, NY

Jessie Blair Rink, N.P.
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 320 Prather Ave, Suite Number 1, Jamestown, NY 14701
Phone: 716-488-1200    
Debra B Daniels, NP
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Practice Location: 774 Fairmount Ave, Jamestown, NY 14701
Phone: 716-708-6578    
Shirley J Swenson, FNP
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Medicare: Medicare Enrolled
Practice Location: 15 S Main St, Suite 160, Jamestown, NY 14701
Phone: 716-484-7107    Fax: 716-664-2500
Jessica Currie,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 207 Foote Ave, Jamestown, NY 14701
Phone: 716-366-7150    
Mrs. Charlene Swift Carter, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 110 E 4th St, Jamestown, NY 14701
Phone: 716-661-8111    
Jenna M Ring, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15 S Main St, Suite 150, Jamestown, NY 14701
Phone: 716-488-0232    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.