Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

WILLOW MENNONE PA
NPI 1427939305
Physician Assistant in Potsdam, NY

Active since September 09, 2025PECOS Enrolled
49 LAWRENCE AVE, POTSDAM, NY 13676(315) 265-2153(315) 265-2540 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2026, Sep 9, 2025 (2 updates tracked since 2025).

About Willow Mennone Pa NPPES

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

WILLOW MENNONE PA (NPI 1427939305) is an individual physician assistant in Potsdam, New York, licensed in New York (034502) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains a secondary practice location in Massena.

NPPES Registry Identity

NPI1427939305
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameWILLOW MENNONECredential: PA
Location Address49 LAWRENCE AVEPotsdam, NY 13676-1889
Mailing Address50 Leroy StPotsdam, NY 13676-1786
Fax(315) 265-2540
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 9, 2025
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
NPI 1427939305 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 · 034502
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.

49 LAWRENCE AVE, Potsdam, NY 13676

Secondary Practice Location 1

Location 115 Hospital DrMassena, NY 13662-1092 · Phone (315) 769-4638 · Fax (315) 842-3009

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

Willow Mennone 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.

PECOS PAC ID7911403662
PECOS Enrollment IDI20251001002300
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 3

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Slhs Massena, Inc

Critical Access Hospitals · Massena, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331322
Location1 Hospital DriveMassena, NY 13662 · St. Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13676 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.

Anesthesiology (Pain Medicine)
49 LAWRENCE AVE
POTSDAM, NY 13676
Physical Therapist
49 LAWRENCE AVE
POTSDAM, NY 13676
Physical Therapist
49 LAWRENCE AVE
POTSDAM, NY 13676
Family Medicine
49 LAWRENCE AVE
POTSDAM, NY 13676
Physical Therapist (Neurology)
49 LAWRENCE AVE
POTSDAM, NY 13676
Physician Assistant
49 LAWRENCE AVE
POTSDAM, NY 13676
Family Medicine
49 LAWRENCE AVE
POTSDAM, NY 13676
Nurse Practitioner (Women's Health)
49 LAWRENCE AVE
POTSDAM, NY 13676

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 Willow Mennone's NPI number?

The NPI number for Willow Mennone is 1427939305. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Where is Willow Mennone located?

Willow Mennone practices at 49 Lawrence Ave, Potsdam, NY 13676. The listed phone number is (315) 265-2153.

What is Willow Mennone's specialty?

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

Is Willow Mennone enrolled in Medicare?

Yes. Willow Mennone 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 Willow Mennone affiliated with any hospitals?

According to CMS data, Willow Mennone is affiliated with Rochester General Hospital, Canton-Potsdam Hospital and Slhs Massena, Inc.

When was this NPI record last updated?

The NPPES record for Willow Mennone was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.