MIA NICHOLLE POLLINO PA-C
NPI 1215761697
Physician Assistant in Syracuse, NY

Active since August 28, 2024PECOS EnrolledAccepts Medicare Assignment
4900 BROAD RD, SYRACUSE, NY 13215(315) 492-5011(315) 492-5973 Get Directions Write a Review

NPPES record last updated: October 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mia Nicholle Pollino Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIA NICHOLLE POLLINO PA-C (NPI 1215761697) is an individual physician assistant in Syracuse, New York, licensed in New York (032603) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215761697
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIA NICHOLLE POLLINOCredential: PA-C
Location Address4900 BROAD RDSyracuse, NY 13215-2265
Mailing Address3780 Rivers Pointe Way Apt 8Liverpool, NY 13090-4953 · (315) 521-2429
Fax(315) 492-5973
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 28, 2024
Last NPPES UpdateOctober 13, 2024
NPPES CertifiedOctober 13, 2024
NPI 1215761697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 032603
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4900 BROAD RD, Syracuse, NY 13215

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

Mia Nicholle Pollino Pa-c 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.

PECOS PAC ID3173057494
PECOS Enrollment IDI20241108003442
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Occupational Therapist
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Practitioner (Family)
4900 BROAD RD, SUITE 4K
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Psychiatry & Neurology (Neurology)
4900 BROAD RD, CGH POB SUITE 2F
SYRACUSE, NY 13215
Physician Assistant
4900 BROAD RD
SYRACUSE, NY 13215

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 Mia Pollino's NPI number?

The NPI number for Mia Pollino is 1215761697. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Where is Mia Pollino located?

Mia Pollino practices at 4900 Broad Rd, Syracuse, NY 13215. The listed phone number is (315) 492-5011.

What is Mia Pollino's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mia Pollino enrolled in Medicare?

Yes. Mia Pollino 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 Mia Pollino affiliated with any hospitals?

According to CMS data, Mia Pollino is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Mia Pollino was last updated on October 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.