Individual provider Active NPI

Nicole Elizabeth Mokszycki, PA-C

  • Medical Physician Assistant
  • West Coxsackie, NY
National Provider Identifier
1699127910
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
019823 Issued in NY
Practice address
11835 9W
West Coxsackie, NY 12192-3605
Phone
(518) 731-9000
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 019823 NY Primary

Addresses

Primary practice location

11835 9W
West Coxsackie, NY 12192-3605

Mailing address

46 S Jefferson Ave
Catskill, NY 12414-2108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160909000838 NY Practitioner - Physician Assistant 4385930882 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital CurrentSince Jan 9, 2024 Accepting new patients
Albany Medical College CurrentSince Jul 25, 2016 Accepting new patients
Albany Medical College CurrentSince Jul 25, 2016 Accepting new patients
Columbia Memorial Hospital CurrentSince Jan 9, 2024 Accepting new patients
Albany Medical College CurrentSince Jul 25, 2016 Accepting new patients
Columbia Memorial Hospital Past Accepting new patients

Locations

159 Jefferson Hts
Catskill, NY 12414
Phone (518) 943-0212

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

115 Saratoga Rd
Ste 110
Schenectady, NY 12302
Phone (518) 264-2900

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000

Interoperability endpoints

  • Direct secure messaging: nmokszycki100810@albanymed.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1699127910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 S JEFFERSON AVE",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124142108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 9W",
            "city": "WEST COXSACKIE",
            "state": "NY",
            "postal_code": "121923605",
            "telephone_number": "518-731-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKSZYCKI",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "019823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Coxsackie, NY

Sources for this page

Verify at the official NPI Registry.