JACK MULVIHILL
NPI 1093414526
Physician Assistant - Medical in Syracuse, NY
About Jack Mulvihill NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK MULVIHILL (NPI 1093414526) is an individual medical provider in Syracuse, New York and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Jack Mulvihill 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Crouse Hospital
Acute Care Hospitals · Syracuse, NYFrequently 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 Jack Mulvihill's NPI number?
The NPI number for Jack Mulvihill is 1093414526. It was assigned to this individual provider in the NPPES registry on February 23, 2023.
Where is Jack Mulvihill located?
Jack Mulvihill practices at 174 Canterbury Rd, Syracuse, NY 13214. The listed phone number is (315) 956-3215.
What is Jack Mulvihill's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jack Mulvihill enrolled in Medicare?
Yes. Jack Mulvihill 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.
Is Jack Mulvihill affiliated with any hospitals?
According to CMS data, Jack Mulvihill is affiliated with Crouse Hospital.
When was this NPI record last updated?
The NPPES record for Jack Mulvihill was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Jack Mulvihill · NPI 1093414526
Medical physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since February 23, 2023.
## Identity
- **NPI:** 1093414526 (Entity type: Individual)
- **Enumerated:** February 23, 2023
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 174 CANTERBURY RD, Syracuse, NY 13214-2243
- **Phone:** (315) 956-3215
## 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 2024
## Record status
- **NPPES last updated:** May 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093414526) · Data from the CMS NPPES public registry.