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

Willow Mennone, PA

Individual provider Physician Assistant · NPI 1427939305

Willow Mennone, PA is a Physician Assistant in Potsdam, New York. Qualified in 2025, 1 year ago. Practices with Massena Hospital Inc, a 49-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
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

49 Lawrence Ave
Potsdam, NY 13676-1889
Phone: (315) 265-2153
Fax: (315) 265-2540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15 Hospital Dr, Massena, NY 13662-1092 — (315) 769-4638

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 034502 (NY)

Record details

NPI number1427939305
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address50 Leroy St, Potsdam, NY 13676-1786

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Massena Hospital Inc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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