Active NPI
Erica L Menocci, PA-C
- Physician Assistant
- Wheaton, IL
National Provider Identifier
1417088071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085-002589
- Practice address
- 1914 Hampton Dr
Wheaton, IL 60189-2020 - Phone
- (630) 533-3056
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-002589 | IL | Primary |
| Medical Physician Assistant | 363AM0700X | MA053428 | PA |
Addresses
Primary practice location
1914 Hampton Dr
Wheaton, IL 60189-2020
Mailing address
1914 Hampton Dr
Wheaton, IL 60189-2020
Phone (630) 533-3056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-002589 | IL | MD | Physician Assistant |
Interoperability endpoints
- erica.menocci.1@3547.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1417088071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1914 HAMPTON DR",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892020",
"telephone_number": "630-533-3056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1914 HAMPTON DR",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892020",
"telephone_number": "630-533-3056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENOCCI",
"first_name": "ERICA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085-002589",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA053428",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.