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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JONATHAN MIZGALA DNP, FNP-BC
NPI 1164968434
Nurse Practitioner - Psychiatric/Mental Health in Ilion, NY

Active since January 11, 2017PECOS EnrolledAccepts Medicare Assignment
55 CENTRAL PLZ STE B, ILION, NY 13357(315) 444-1900(315) 363-2549 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2026, Dec 13, 2023, Dec 4, 2023 and 3 more (6 updates tracked since 2017).

About Jonathan Mizgala Dnp, Fnp-bc NPPES

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

JONATHAN MIZGALA DNP, FNP-BC (NPI 1164968434) is an individual psychiatric/mental health provider in Ilion, New York, licensed in New York (405393) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1164968434
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJONATHAN MIZGALACredential: DNP, FNP-BC
Location Address55 CENTRAL PLZ STE BIlion, NY 13357-1753
Mailing Address1 S Washington St Ste 300Rochester, NY 14614-1134 · (585) 325-2280
Phone(315) 444-1900
Fax(315) 363-2549
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 11, 2017
Last NPPES UpdateOctober 7, 20266 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1164968434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 405393
Also ListedNurse PractitionerTaxonomy 363L00000X · License F342409 (NY), 342409 (NY)
55 CENTRAL PLZ STE B, Ilion, NY 13357
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Other Identifiers 1

Medicaid05296391NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Mizgala Dnp, Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739459587
PECOS Enrollment IDI20180919001139
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.

Medicare Billing Reassignments

11

Medicare enrollment records show Jonathan Mizgala reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mosaic Health, Inc.
0.1 mi
Federally Qualified Health Center (FQHC)
55 CENTRAL PLZ, SUITE B
Ilion, NY 13357
  • Reassigned Medicare billing, New York enrollment
  • 24 clinicians in this Medicare group
NPI 1528428208 (315) 444-1900
Mvhs Inc
12 mi
Family Medicine
111 HOSPITAL DR
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 657 clinicians in this Medicare group
NPI 1770690737 (315) 917-9966
New Hartford Psychiatric Services PLLC
16 mi
Clinical Neuropsychologist
327 ORISKANY BLVD
Whitesboro, NY 13492
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group
NPI 1619004355 (315) 768-7181
Wellnow Urgent Care, PC
60 mi
Urgent Care
7375 OSWEGO RD, SUITE1
Liverpool, NY 13090
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Wellnow Urgent Care, P.C.
  • 511 clinicians in this Medicare group
NPI 1669825162 (716) 699-9032
Emergency Physician Services Of New York, P.C.
106 mi
Emergency Medicine
241 NORTH RD
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 356 clinicians in this Medicare group
NPI 1093759847 (845) 483-5000
New York General Medical Services PC
162 mi
Hospitalist
1060 AMSTERDAM AVE
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 179 clinicians in this Medicare group
NPI 1700315538 (865) 693-1000
Infinite Medical PC
213 mi
Family Medicine
7 CREEK LN
Bristol, RI 02809
  • Reassigned Medicare billing, New York enrollment
  • 188 clinicians in this Medicare group
NPI 1407483175 (718) 964-6161
Cs Pacs 3 Northeast, LLC
278 mi
Hospitalist
30 NORTH PL
Frederick, MD 21701
  • Reassigned Medicare billing, New York enrollment
  • 158 clinicians in this Medicare group
NPI 1093598898 (301) 695-6618
Rush University Medical Center
648 mi
Internal Medicine
1411 S MICHIGAN AVE
Chicago, IL 60605
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
NPI 1689165540 (312) 563-0654
Swedish Covenant Management Services, Inc.
650 mi
Obstetrics & Gynecology
5140 N CALIFORNIA AVE
Chicago, IL 60625
  • Reassigned Medicare billing, Illinois enrollment
  • 350 clinicians in this Medicare group
NPI 1760432348 (847) 570-2040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
255 services88 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
186 services58 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
129 services33 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
103 services103 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
98 services57 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
39 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13357 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

RACHEL ANDRELLO
Nurse Practitioner (Family)
55 CENTRAL PLZ STE B
ILION, NY 13357
Herkimer County (315) 444-1900
KARYLANNE M KELLEY MACMHC
Counselor (Mental Health)
55 CENTRAL PLZ STE B
ILION, NY 13357
Herkimer County (315) 444-1900
SARA ELIZABETH PARNELL PFMHNP, NPP
Nurse Practitioner (Psychiatric/Mental Health)
55 CENTRAL PLZ STE B
ILION, NY 13357
Herkimer County (315) 444-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Mizgala's NPI number?

The NPI number for Jonathan Mizgala is 1164968434. It was assigned to this individual provider in the NPPES registry on January 11, 2017.

Where is Jonathan Mizgala located?

Jonathan Mizgala practices at 55 Central Plz Ste B, Ilion, NY 13357. The listed phone number is (315) 444-1900.

What is Jonathan Mizgala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jonathan Mizgala enrolled in Medicare?

Yes. Jonathan Mizgala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jonathan Mizgala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Mizgala reassigns Medicare benefits to 11 organizations: Mosaic Health, Inc. (Ilion, NY), Mvhs Inc (Utica, NY), New Hartford Psychiatric Services PLLC (Whitesboro, NY), Wellnow Urgent Care, PC (Liverpool, NY), Emergency Physician Services Of New York, P.C. (Poughkeepsie, NY) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Mizgala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Mizgala accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jonathan Mizgala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Mizgala was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.