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JONATHAN MIZGALA DNP, FNP-BC
NPI 1164968434
Nurse Practitioner 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: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2023, Dec 4, 2023, Feb 10, 2023 and 2 more (5 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 nurse practitioner in Ilion, New York, licensed in New York (342409) 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 Taxonomy363L00000X
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 UpdateDecember 13, 20235 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
✔ NPI 1164968434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in NY · 342409✔ Licensed in NY · F342409
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 405393 (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 Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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 with taxonomy code 363L00000X.

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.

What insurance does Jonathan Mizgala accept?

Health plans from Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare 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 December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.