ROXANNE MONGEON PA NPI 1538160593

NPI Information

  • NPI: 1538160593
  • Provider Name: ROXANNE MONGEON, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2801 REGAL RD
    SUITE 108
    PLANO, TX
    ZIP 75075
  • Phone: (972) 599-0080

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NPI Details

Roxanne Mongeon, PA is a surgical physician assistant in Plano, TX with 35 years of experience. Roxanne Mongeon, PA NPI is 1538160593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2801 REGAL RD
SUITE 108
PLANO, TX
ZIP 75075-315
Phone: (972) 599-0080
Fax: (972) 599-0082

The NPI 1538160593 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Coronary artery bypass using artery graft, 1 graft (HCPCS:33533)
  • Coronary artery bypass using vein or artery graft, 2 grafts (HCPCS:33518)
  • Coronary artery bypass graft (CABG) (HCPCS:NAN07)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 8/2/2005 and was last updated on 11/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA10537TEXASNo
2363AS0400XPhysician AssistantSurgical000037CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1970000523MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
2S29461MEDICARE UPINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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