Individual provider Active NPI

Renee E Mong, PAC

  • Physician Assistant
  • Youngstown, OH
National Provider Identifier
1619284635
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003156 Issued in OH
Practice address
8591 Crossroads Drive
Youngstown, OH 44514
Phone
(330) 758-0577
Fax
(330) 758-0466
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003156 OH Primary

Addresses

Primary practice location

8591 Crossroads Drive
Youngstown, OH 44514

Mailing address

8591 Crossroads Drive
Youngstown, OH 44514
Phone (330) 758-0577

Other practice location 1

1695 Niles Cortland Rd NE
Warren, OH 44484-1165
Phone (330) 758-0577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101118000912 OH Practitioner - Physician Assistant 6103012984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youngstown Orthopaedic Associates LTDGroup PAC ID 4587559562, 37 clinicians

Practice addresses (Care Compare)

1499 Boardman Canfield Rd
Youngstown, OH 44512-4008
Phone (330) 758-0577

1695 Niles Cortland Rd NE
Warren, OH 44484-1165
Phone (330) 758-0577

6470 Tippecanoe Rd
Canfield, OH 44406-7036
Phone (330) 758-0577

Hospital & facility affiliations

  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276

Merit-based Incentive Payment System (MIPS)

Final score
70.01 of 100Reported as group
Quality
64.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Youngstown Orthopaedic Associates LTD Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1619284635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8591 CROSSROADS DRIVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44514",
            "telephone_number": "330-758-0577",
            "fax_number": "330-758-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8591 CROSSROADS DRIVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44514",
            "telephone_number": "330-758-0577",
            "fax_number": "330-758-0466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1695 Niles Cortland Rd NE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444841165",
            "country_code": "US",
            "telephone_number": "330-758-0577",
            "fax_number": "330-758-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONG",
        "first_name": "RENEE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.