EMILY NICOLE MONGELLUZZO PA-C
NPI 1477447464
Physician Assistant - Surgical in Pittsburgh, PA

Active since June 05, 2025PECOS EnrolledAccepts Medicare Assignment
4815 LIBERTY AVE STE 425, PITTSBURGH, PA 15224(412) 359-4352 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2025, Jun 5, 2025 (2 updates tracked since 2025).

About Emily Nicole Mongelluzzo Pa-c NPPES

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

EMILY NICOLE MONGELLUZZO PA-C (NPI 1477447464) is an individual surgical provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MA066628) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1477447464
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameEMILY NICOLE MONGELLUZZOCredential: PA-C
Location Address4815 LIBERTY AVE STE 425Pittsburgh, PA 15224-2156
Mailing Address4815 Liberty Ave Ste 425Pittsburgh, PA 15224-2156 · (412) 359-4352
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 5, 2025
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
NPI 1477447464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in PA · MA066628 Licensed in PA · OA007730
4815 LIBERTY AVE STE 425, Pittsburgh, PA 15224

Other Identifiers 1

Other16560093Caqh

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

Emily Nicole Mongelluzzo 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 ID345755427
PECOS Enrollment IDI20250716003780
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery (Surgery of the Hand)
4815 LIBERTY AVE STE 425
PITTSBURGH, PA 15224
Physician Assistant
4815 LIBERTY AVE STE 425
PITTSBURGH, PA 15224
Plastic Surgery
4815 LIBERTY AVE STE 425
PITTSBURGH, PA 15224
Physician Assistant (Medical)
4815 LIBERTY AVE STE 425
PITTSBURGH, PA 15224
Physician Assistant
4815 LIBERTY AVE STE 425
PITTSBURGH, PA 15224

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 Emily Mongelluzzo's NPI number?

The NPI number for Emily Mongelluzzo is 1477447464. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Where is Emily Mongelluzzo located?

Emily Mongelluzzo practices at 4815 Liberty Ave Ste 425, Pittsburgh, PA 15224. The listed phone number is (412) 359-4352.

What is Emily Mongelluzzo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Emily Mongelluzzo enrolled in Medicare?

Yes. Emily Mongelluzzo 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 Emily Mongelluzzo was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.