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MIKAYLA ANNE MIGNOGNA
NPI 1205628971
Student in an Organized Health Care Education/Training Program in Altoona, PA

Active since May 20, 2025Accepts Medicare Assignment
3000 FAIRWAY DR, ALTOONA, PA 16602(814) 231-2101(814) 231-8569 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mikayla Anne Mignogna NPPES

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

MIKAYLA ANNE MIGNOGNA (NPI 1205628971) is an individual student in an organized health care education/training program in Altoona, Pennsylvania and active in the NPI registry since May 2025. She maintains a secondary practice location in State College and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205628971
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIKAYLA ANNE MIGNOGNA
Location Address3000 FAIRWAY DRAltoona, PA 16602-4472
Mailing Address101 Regent CtState College, PA 16801-7965 · (814) 231-2101 · Fax (814) 231-8569
Phone(814) 231-2101
Fax(814) 231-8569
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1205628971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysical TherapistTaxonomy 225100000X
3000 FAIRWAY DR, Altoona, PA 16602
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Secondary Practice Location 1

Location 1100 Radnor Rd Ste 102State College, PA 16801-7986 · Phone (814) 231-2101 · Fax (814) 231-8569

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

Mikayla Anne Mignogna 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 ID5193231538
PECOS Enrollment IDI20250722002998

Medicare Billing Reassignment

Medicare enrollment records show Mikayla Mignogna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Orthopedics Center, Ltd
37 mi
Orthopaedic Surgery
101 REGENT CT
State College, PA 16801
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 43 clinicians in this Medicare group
NPI 1770500415 (814) 231-2101

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

Other Providers at the Same Location NPPES 20

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

FRED K KHALOUF DO
Pain Medicine (Interventional Pain Medicine)
3000 FAIRWAY DR
ALTOONA, PA 16602
Blair County (814) 942-1166
ADAM M BUDNY DPM
Podiatrist (Foot & Ankle Surgery)
3000 FAIRWAY DR
ALTOONA, PA 16602
Blair County (814) 942-1166
JOSHUA PORT MD
Orthopaedic Surgery
3000 FAIRWAY DR
ALTOONA, PA 16602
Blair County (814) 942-1166
ANGELA W ROWE DO
Orthopaedic Surgery
3000 FAIRWAY DR
ALTOONA, PA 16602
Blair County (814) 942-1166
MEGHAN TRACY DPT
Physical Therapist
3000 FAIRWAY DR
ALTOONA, PA 16602
Blair County (814) 231-2101
ROBERT J SINGER DO
Orthopaedic Surgery
3000 FAIRWAY DR
ALTOONA, PA 16602
Blair County (814) 942-1166
ANDREA LYNNE LACKI PA-C
Physician Assistant (Surgical)
3000 FAIRWAY DR
ALTOONA, PA 16602
Blair County (814) 962-1166
WILLIAM ANDREW TYNDALL M.D.
Orthopaedic Surgery
3000 FAIRWAY DR
ALTOONA, PA 16602
Blair County (814) 942-1166

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 Mikayla Mignogna's NPI number?

The NPI number for Mikayla Mignogna is 1205628971. It was assigned to this individual provider in the NPPES registry on May 20, 2025.

Where is Mikayla Mignogna located?

Mikayla Mignogna practices at 3000 Fairway Dr, Altoona, PA 16602. The listed phone number is (814) 231-2101.

What is Mikayla Mignogna's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mikayla Mignogna enrolled in Medicare?

Yes. Mikayla Mignogna 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 organization bills Medicare for Mikayla Mignogna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mikayla Mignogna reassigns Medicare benefits to University Orthopedics Center, Ltd (State College, PA). The 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 Mikayla Mignogna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mikayla Mignogna was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.