MOHAWK VALLEY FAMILY MEDICINE PLLC
NPI 1255288452
Family Medicine in Utica, NY

Active since March 16, 2026
1450 CHAMPLIN AVE, UTICA, NY 13502(315) 624-2900(315) 735-4391 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mohawk Valley Family Medicine Pllc NPPES

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

MOHAWK VALLEY FAMILY MEDICINE PLLC (NPI 1255288452) is a healthcare organization registered as a family medicine in Utica, New York and active in the NPI registry since March 2026. The organization maintains a secondary practice location in Rome and lists Mario Wassel, Owner, as its authorized official.

NPPES Registry Identity

NPI1255288452
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOHAWK VALLEY FAMILY MEDICINE PLLC
Location Address1450 CHAMPLIN AVEUtica, NY 13502-3605
Mailing AddressPo Box 413New Hartford, NY 13413-0413 · (315) 624-2900 · Fax (315) 735-4391
Fax(315) 735-4391
Organization SubpartNo
Authorized OfficialMario WasselOwner · (315) 624-2900
Enumeration DateMarch 16, 2026
NPPES CertifiedMarch 16, 2026
✔ NPI 1255288452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1450 CHAMPLIN AVE, Utica, NY 13502

Secondary Practice Location 1

Location 17845 Rome Westernville RdRome, NY 13440-2202 · Phone (315) 337-2500

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohawk Valley Family Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mohawk Valley Family Medicine PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1922561273
7980 STATE ROUTE 12
Barneveld, NY 13304
(315) 624-8440
✔ PECOS11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mohawk Valley Family Medicine PLLC's NPI number?

The NPI number for Mohawk Valley Family Medicine PLLC is 1255288452. It was assigned to this organization in the NPPES registry on March 16, 2026.

Where is Mohawk Valley Family Medicine PLLC located?

Mohawk Valley Family Medicine PLLC is located at 1450 Champlin Ave, Utica, NY 13502. The listed phone number is (315) 624-2900.

What is Mohawk Valley Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mohawk Valley Family Medicine PLLC enrolled in Medicare?

Yes. Mohawk Valley Family Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mohawk Valley Family Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Mohawk Valley Family Medicine PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mohawk Valley Family Medicine PLLC was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.