Active NPI
Marie Michele Mugnos, RPA-C
- Physician Assistant
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 014799
- Practice address
- 45 Reade PL
Poughkeepsie, NY 12601-3947 - Phone
- (845) 431-5680
- NPI assigned
- Jul 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 014799 | NY | Primary |
Addresses
Primary practice location
45 Reade PL
Poughkeepsie, NY 12601-3947
Mailing address
121 E Market St
Rhinebeck, NY 12572-1723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Albany Medical College of Union University, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500
50 Hospital Hill Rd
Sharon, CT 06069-2096
Phone (860) 364-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014799 | NY | MD | Psychologist |
| 7432 | CT | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of Connecticut PC | Physician Assistant | Current | Accepting new patients |
| North Shore Lij, Urgent Care, P.C. | Current | Accepting new patients | |
| Eos Medical Group PC | Past | Accepting new patients | |
| Hudson Valley Emergency Medicine PLLC | Past | Accepting new patients |
Locations
1953 Black Rock Tpke
Fairfield, CT 06825
Phone (475) 273-8590
50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
186 Route 52
Carmel, NY 10512
Phone (845) 936-0002
5828 99th St
Flushing, NY 11368
Phone (718) 502-9867
377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Waterbury, CT
- NPI 1902278906
Physician Assistant
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1073386421
-
- Emergency Medicine Physician
- Carmel, NY
- NPI 1730119926
-
- General Practice Physician
- Poughkeepsie, NY
- NPI 1093746505
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
dba Vassar Diagnostics
- Clinical Medical Laboratory
- Poughkeepsie, NY
- NPI 1780052514
Hospital
-
dba Sharon Hospital
- General Acute Care Hospital
- Sharon, CT
- NPI 1235131442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1114214798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 E MARKET ST",
"city": "RHINEBECK",
"state": "NY",
"postal_code": "125721723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 READE PL",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013947",
"telephone_number": "845-431-5680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUGNOS",
"first_name": "MARIE",
"middle_name": "MICHELE",
"name_prefix": "Ms.",
"credential": "RPA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "014799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.