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

Nicole Marie Misko, PAC

Individual provider Physician Assistant · NPI 1104202654

Nicole Marie Misko, PAC is a Physician Assistant in Allentown, Pennsylvania. Qualified in 2015, 11 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
11
Licensed in
NJ, PA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

410 N Krocks Rd
Allentown, PA 18106-9283
Phone: (888) 982-8594
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2004 Shipley Rd, Wilmington, DE 19803-5248 — (888) 982-8594
  • 1000 Crawford Pl Ste 160, Mount Laurel, NJ 08054-3960 — (889) 828-5948
  • 150 Sunnyside Blvd, Plainview, NY 11803-1504 — (888) 982-8594
  • 801 Ostrum St, Bethlehem, PA 18015 — (484) 526-3569

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA057701 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00373800 (NJ)

Record details

NPI number1104202654
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 7, 2015
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations22 on file with Medicare

Other providers in Allentown