NICOLE M MONGEON PA
NPI 1003444761
Physician Assistant in Syracuse, NY
About Nicole M Mongeon Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE M MONGEON PA (NPI 1003444761) is an individual physician assistant in Syracuse, New York, licensed in New York (025854) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole M Mongeon Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYRACUSE, NY 13210
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole Mongeon's NPI number?
The NPI number for Nicole Mongeon is 1003444761. It was assigned to this individual provider in the NPPES registry on March 30, 2020.
Where is Nicole Mongeon located?
Nicole Mongeon practices at 750 East Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-4363.
What is Nicole Mongeon's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Nicole Mongeon enrolled in Medicare?
Yes. Nicole Mongeon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Nicole Mongeon was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicole M Mongeon, PA · NPI 1003444761
Physician Assistant physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since March 30, 2020.
## Identity
- **NPI:** 1003444761 (Entity type: Individual)
- **Enumerated:** March 30, 2020
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 025854 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 750 EAST ADAMS ST, Syracuse, NY 13210
- **Phone:** (315) 464-4363 · **Fax:** (315) 464-8690
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1003444761) · Data from the CMS NPPES public registry.