Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jamie Ann Mangovski, PA

Individual provider Physician Assistant · NPI 1801229489

Jamie Ann Mangovski, PA is a Physician Assistant in Syracuse, New York. Qualified in 2013, 13 years ago. Practices with Crouse Medical Practice PLLC, a 189-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

739 Irving Ave Ste 200
Syracuse, NY 13210-1651
Phone: (315) 479-5070
Fax: (315) 701-2525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NY)

Record details

NPI number1801229489
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 19, 2013
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Crouse Medical Practice Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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