Nicole Mongeon, PA
Nicole Mongeon, PA is a Physician Assistant in Syracuse, NY, registered under NPI 1003444761. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
Here is what surrounds this office in Syracuse, based on OpenStreetMap data collected Sep 11, 2026. Parking is available about 719 ft away. There is EV charging 0.41 mi from the office (ChargePoint) — useful if you are driving in from out of town. The nearest transit stop is 0.25 mi away. If you arrive early, there is a coffee shop 0.35 mi away.
Getting here and what is nearby
Transit 434 ft ~2 min
Parking CNY Medical Center garage 561 ft ~3 min
808 South Crouse Avenue, Syracuse 13210
Parking 622 ft ~3 min
Restaurant Varsity Pizza 660 ft ~3 min
Transit 746 ft ~3 min
Coffee The Canteen 739 ft ~3 min
Parking 719 ft ~3 min
Restaurant Brooklyn Pickle On the Run 800 ft ~4 min
103 Marshall Street, Syracuse 13210
Mo-Sa 10:00-20:00; Su off
Restaurant The Pita Pit 813 ft ~4 min
107 Marshall Street, Syracuse 13210
Coffee Hi Tea 840 ft ~4 min
113 Marshall Street, Syracuse 13210
Convenience Student's Choice Foods 0.21 mi ~5 min
161 Marshall Street, Syracuse 13210
EV charging Tesla Supercharger 0.22 mi ~5 min
Transit 0.25 mi ~5 min
Hotel Hotel Skyler 0.27 mi ~6 min
Coffee Starbucks 0.35 mi ~7 min
150 Henry Street, Campus West Housing 13244
Mo-Fr 07:00-15:00; Sa-Su 09:00-15:00
Convenience Edie's Eagle Market 0.37 mi ~8 min
140 Oakwood Avenue, Syracuse 13202
EV charging ChargePoint 0.40 mi ~8 min
EV charging ChargePoint 0.41 mi ~9 min
Hotel Collegian Hotel & Suites 0.44 mi ~9 min
Hotel ParkView Hotel 0.48 mi ~10 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 025854 | NY | Physician Assistant primary |
This provider holds licence 025854 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 6002229655
- Enrollment ID
- I20201229000666
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Physician Assistant covers
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. NUCC Health Care Provider Taxonomy, code 363A00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 025854 | NY | primary |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003444761 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 30, 2020 |
| Last updated | Dec 10, 2020 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | PA |
| Practice address |
750 EAST ADAMS ST Syracuse, NY 13210 (315) 464-4363 Fax (315) 464-8690 |
| Mailing address |
251 SALINA MEADOWS PKWY STE 100 Syracuse, NY 13212 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 4 | 4 | 4 | 7 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 8 | 4 | 8 | 7 | 3 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.