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MIKAELA ANN ALTIS PA-C
NPI 1366053241
Physician Assistant - Medical in Fort Leavenworth, KS

Active since August 13, 2020
550 POPE AVE, FORT LEAVENWORTH, KS 66027(913) 684-6258 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2021, Aug 13, 2020 (2 updates tracked since 2020).

About Mikaela Ann Altis Pa-c NPPES

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

MIKAELA ANN ALTIS PA-C (NPI 1366053241) is an individual medical provider in Fort Leavenworth, Kansas and active in the NPI registry since August 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366053241
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMIKAELA ANN ALTISCredential: PA-C
Location Address550 POPE AVEFort Leavenworth, KS 66027-2332
Mailing Address550 Pope AveFort Leavenworth, KS 66027-2332 · (913) 684-6258
Phone(913) 684-6258
Sole ProprietorYes
Enumeration DateAugust 13, 2020
Last NPPES UpdateOctober 18, 20242 updates tracked since enumeration
NPPES CertifiedOctober 18, 2024
✔ NPI 1366053241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
550 POPE AVE, Fort Leavenworth, KS 66027
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Secondary Practice Locations 2

Location 1315 W Gary BlvdClinton, OK 73601-2835 · Phone (580) 547-0900
Location 23600 N Garfield StMidland, TX 79705-6329 · Phone (806) 743-3220

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.

DANIEL M. HALE PA-C
Physician Assistant
550 POPE AVE
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6000
NATHANIEL WHITTINGTON FOSTER DO
General Practice
550 POPE AVE
FORT LEAVENWORTH, KS 66027
Leavenworth County (619) 532-6400
MRS. LILLY ROSE JOHNSON LPN
Licensed Practical Nurse
550 POPE AVE
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6671
JOHN T FITZGERALD RPH
Pharmacist
550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTENTION MCXN CPD ,S CPTTPM
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6562
MS. ELBA M VILLACORTA RN, CNOR
Registered Nurse
550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS. COTTON)
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6562
MR. DANIEL JOSEPH COLOMBO LSCSW
Social Worker (Clinical)
550 POPE AVE
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 271-2627
MRS. LISA JEAN HOVER P.T.
Physical Therapist
550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTN: MXCN-COD, MS. COTTON)
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6562
MS. ANGELA FRANCES CLAUSER RN BSN
Registered Nurse (Ambulatory Care)
550 POPE AVE, MUNSON HEALTH CENTER
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6671

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 Mikaela Altis's NPI number?

The NPI number for Mikaela Altis is 1366053241. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Where is Mikaela Altis located?

Mikaela Altis practices at 550 Pope Ave, Fort Leavenworth, KS 66027. The listed phone number is (913) 684-6258.

What is Mikaela Altis's specialty?

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

When was this NPI record last updated?

The NPPES record for Mikaela Altis was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.