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NICOLE MOUNDROS PAC
NPI 1770614265
Physician Assistant in Lansing, MI

Active since March 08, 2007
1215 E MICHIGAN AVE, LANSING, MI 48912(517) 364-2223 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Moundros Pac NPPES

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

NICOLE MOUNDROS PAC (NPI 1770614265) is an individual physician assistant in Lansing, Michigan, licensed in Michigan (004593) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1770614265
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE MOUNDROSCredential: PAC
Location Address1215 E MICHIGAN AVELansing, MI 48912-1811
Mailing AddressPo Box 634280Cincinnati, OH 45263-0041 · (517) 336-8080 · Fax (517) 336-9122
Phone(517) 364-2223
Sole ProprietorNo
Enumeration DateMarch 8, 2007
Last NPPES UpdateMarch 14, 2008
✔ NPI 1770614265 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 MI · 004593
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.

1215 E MICHIGAN AVE, Lansing, MI 48912
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Other Identifiers 2

Medicare PINN88100025MI
Medicare PINC37626056MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Priority Health.Insurance ›

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.

DR. STANLYN CHRISTINE POWERS DO
Emergency Medicine
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-2223
YING QIN MD
Pathology (Anatomic Pathology & Clinical Pathology)
1215 E MICHIGAN AVE, SPARROW HOSPITAL
LANSING, MI 48912
Ingham County (517) 332-5050
EDWIN B MARINAS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1215 E MICHIGAN AVE, SPARROW HOSPITAL
LANSING, MI 48912
Ingham County (517) 364-1000
MARIA B COSTA-FOX MD
Pathology (Anatomic Pathology & Clinical Pathology)
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-1000
CANDACE SUE METCALF DO
Anesthesiology
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-1000
GERTRUDE R. HAWKINS DO
Anesthesiology
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-1000
ANDREW BLAINE MACKERSIE M.D.
Radiology (Diagnostic Radiology)
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 351-4905
DR. STEVEN WAYNE MARTIN M.D.
Pediatrics (Pediatric Critical Care Medicine)
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-2117

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 Nicole Moundros's NPI number?

The NPI number for Nicole Moundros is 1770614265. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Nicole Moundros located?

Nicole Moundros practices at 1215 E Michigan Ave, Lansing, MI 48912. The listed phone number is (517) 364-2223.

What is Nicole Moundros's specialty?

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

What insurance does Nicole Moundros accept?

Health plans from Blue Care Network of Michigan and Priority Health list Nicole Moundros as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Moundros was last updated on March 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.