Individual provider Active NPI

Victoria Mennona, FNP-BC

  • Nurse Practitioner
  • Easton, PA
National Provider Identifier
1659236776
Registry record updated Aug 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP034522 Issued in PA
Practice address
2200 St Lukes Blvd # 230
Easton, PA 18045-5665
Phone
(484) 526-2598
NPI assigned
Dec 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP034522 PA Primary

Addresses

Primary practice location

2200 St Lukes Blvd # 230
Easton, PA 18045-5665

Mailing address

156 Ashford Dr
Coopersburg, PA 18036-3306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260213000187 PA Practitioner - Nurse Practitioner 4183104862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP034522PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gslpg, Inc CurrentSince Feb 23, 2026 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Feb 23, 2026 Accepting new patients
St Luke'S Physician Group, Inc CurrentSince Feb 23, 2026 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients
St. Luke'S Physician Group, Inc. PastSince Dec 21, 2025 Accepting new patients

Locations

5018 Medical Center Cir
Ste 101B
Allentown, PA 18106
Phone (484) 876-5649

3565 Route 611
Ste 300
Bartonsville, PA 18321
Phone (272) 212-0105

1521 8th Ave
Ste 201
Bethlehem, PA 18018
Phone (610) 882-2598

2403 Butler St
Easton, PA 18042
Phone (484) 822-5405

2200 St Lukes Blvd
#230
Easton, PA 18045

2200 St Lukes Blvd
Ste 230
Easton, PA 18045
Phone (484) 503-2500

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

614B Delaware Ave
Palmerton, PA 18071
Phone (484) 822-5850

1021 Park Ave
Ste 202
Quakertown, PA 18951
Phone (215) 536-3996

711 Lawn Ave
Ste 2
Sellersville, PA 18960
Phone (215) 257-1050

143 N Railroad St
Tamaqua, PA 18252
Phone (570) 645-1540

120 Pine St
Tamaqua, PA 18252
Phone (570) 645-1540

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.

Hospital & facility affiliations 8

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": "1766188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787443200000",
    "number": "1659236776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 ASHFORD DR",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180363306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 ST LUKES BLVD # 230",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455665",
            "telephone_number": "484-526-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNONA",
        "first_name": "VICTORIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-20",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP034522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.