NANCY L VITELLO MIKISKA PAC
NPI 1588734628
Physician Assistant in Spokane, WA

Q: What is Nancy Vitello Mikiska's NPI number?

The NPI number for Nancy Vitello Mikiska is 1588734628. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is Nancy Vitello Mikiska's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment

62 W 7TH AVE STE 450, SPOKANE, WA 99204(509) 455-8820(509) 838-4978 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2026, Apr 28, 2021 (2 updates tracked since 2021).

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About Nancy L Vitello Mikiska Pac NPPES

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

NANCY L VITELLO MIKISKA PAC (NPI 1588734628) is an individual physician assistant in Spokane, Washington, licensed in Washington (PA10003223) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and maintains a secondary practice location in Spokane.

NPPES Registry Identity

NPI1588734628

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNANCY L VITELLO MIKISKACredential: PAC

Location Address62 W 7TH AVE STE 450Spokane, WA 99204-2321

Mailing AddressPo Box 31001-4114Pasadena, CA 91110-0001 · (866) 747-2455

Phone(509) 455-8820

Fax(509) 838-4978

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateNovember 8, 2006

Last NPPES UpdateMarch 20, 20262 updates tracked since enumeration

NPPES CertifiedMarch 20, 2026

✔ NPI 1588734628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WA · PA10003223

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

62 W 7TH AVE STE 450, Spokane, WA 99204

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Secondary Practice Location 1

Location 1421 S Division StSpokane, WA 99202-1331 · Phone (509) 474-2100

Other Identifiers 1

Medicaid8324261WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Nancy L Vitello Mikiska Pac 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 ID9739229253

PECOS Enrollment IDI20091214000793

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

684 services648 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

346 services334 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services25 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

17 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500054

Location101 West 8th AvenueSpokane, WA 99204 · Spokane County

Emergency services Birthing friendly

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500077

Location5633 North LidgerwoodSpokane, WA 99208 · Spokane County

Emergency services Birthing friendly

Providence St Joseph Hospital

Critical Access Hospitals · Chewelah, WA

OwnershipVoluntary non-profit - Church

CMS Certification Number501309

Location500 East WebsterChewelah, WA 99109 · Stevens County

Emergency services

Newport Community Hospital

Critical Access Hospitals · Newport, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501310

Location714 West Pine StreetNewport, WA 99156 · Pend Oreille County

Emergency services

Providence Mount Carmel Hospital

Critical Access Hospitals · Colville, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number501326

Location982 East ColumbiaColville, WA 99114 · Stevens County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

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 20

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

KRISTIN WALTERS ARNP

Nurse Practitioner (Gerontology)