Active NPIIndividual provider

Nicole M Misko, PAC

Physician Assistant in Allentown, Pennsylvania

NPI Number1104202654
Practice location
410 N Krocks RD, Allentown, PA 18106-9283
Fax
—
Last updated
November 3, 2026

Nicole Marie Misko is a Physician Assistant based in Allentown, PA. Nicole Marie Misko practices in Allentown, PA and has the professional credentials of PAC. The NPI Number for Nicole Marie Misko is 1104202654 and holds a License No. MA057701 (PA). The current practice location address for Nicole Marie Misko is 410 N Krocks RD, Allentown, PA 18106-9283 and can be reached out via phone at 888-982-8594.

Provider Profile Details

NPI Number
1104202654
Provider Name
Nicole Marie Misko
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
410 N Krocks RD, Allentown, PA 18106-9283
Phone Number
888-982-8594
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 7, 2015
Last Update Date
November 3, 2026
Certification Date
November 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
410 N Krocks RD
Allentown, PA 18106-9283
Zip
18106-9283
Phone Number
888-982-8594
Allentown, PA 18106Get directions →

Provider Business Mailing Address Details

Address
Po Box 159
Barrington, NJ 08007-0159
City
Barrington
State
NJ
Zip
08007-0159
Phone Number
888-982-8594

License Information

License Number (1)
MA057701
License State (1)
PA
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
25MP00373800
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole M Misko, PAC?

The NPI number of Nicole M Misko, PAC is 1104202654. It was assigned on August 7, 2015 and is currently active in the NPPES registry.

What is the specialty of Nicole M Misko, PAC?

Nicole M Misko, PAC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in PA under license number MA057701.

Where does Nicole M Misko, PAC practice?

The practice location is 410 N Krocks RD, Allentown, PA 18106-9283. The office can be reached at 888-982-8594 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104202654 directly on the NPPES registry website.

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