PATRICIA MISTRETTA PA
NPI 1063441541
Physician Assistant - Medical in Columbus, GA

Q: What is Patricia Mistretta's NPI number?

The NPI number for Patricia Mistretta is 1063441541. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Q: What is Patricia Mistretta's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since June 30, 2006PECOS Enrolled

7901 VETERANS PKWY, COLUMBUS, GA 31909(706) 321-1223 Get Directions Write a Review

NPPES record last updated: January 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Patricia Mistretta Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA MISTRETTA PA (NPI 1063441541) is an individual medical provider in Columbus, Georgia, licensed in Georgia (001896) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063441541

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NamePATRICIA MISTRETTACredential: PA

Location Address7901 VETERANS PKWYColumbus, GA 31909-1723

Mailing Address14050 Nw 14th St, Suite 190Sunrise, FL 33323-2865 · (800) 424-3672 · Fax (954) 377-3042

Phone(706) 321-1223

Sole ProprietorNo

Enumeration DateJune 30, 2006

Last NPPES UpdateJanuary 17, 2008

✔ NPI 1063441541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 001896

7901 VETERANS PKWY, Columbus, GA 31909

Open in Google Maps ↗

Other Identifiers 3

OtherP00426912Railroad Medicare

Medicare PIN97WCHBVGA

Medicare UPINQ55978GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia Mistretta Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LISA W. GANTNER M.D.

Family Medicine