MIKKI SAPKOTA M.D.
NPI 1760006068
Psychiatry & Neurology - Neurology in Johnstown, PA

Active since June 02, 2020PECOS EnrolledAccepts Medicare Assignment
1450 SCALP AVE STE 2100, JOHNSTOWN, PA 15904(347) 666-1266 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2024, Sep 2, 2020, Jun 2, 2020 (3 updates tracked since 2020).

About Mikki Sapkota M.d. NPPES

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

MIKKI SAPKOTA M.D. (NPI 1760006068) is an individual neurology provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MD486075) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Conemaugh Nason Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1760006068
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMIKKI SAPKOTACredential: M.D.
Location Address1450 SCALP AVE STE 2100Johnstown, PA 15904-3374
Mailing Address1450 Scalp Ave Ste 2100Johnstown, PA 15904-3374 · (347) 666-1266
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 2, 2020
Last NPPES UpdateJuly 16, 20243 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
NPI 1760006068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in PA · MD486075
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1450 SCALP AVE STE 2100, Johnstown, PA 15904

Other Identifiers 1

Medicaid1760006068PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Mikki Sapkota M.d. 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 ID5294153227
PECOS Enrollment IDI20240822000639
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 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
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.
16 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390062
Location105 Nason DriveRoaring Spring, PA 16673 · Blair County
Emergency services

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15904 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 7

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

Nurse Practitioner (Family)
1450 SCALP AVE STE 2100
JOHNSTOWN, PA 15904
Psychiatry & Neurology (Neurology)
1450 SCALP AVE STE 2100
JOHNSTOWN, PA 15904
Nurse Practitioner (Family)
1450 SCALP AVE STE 2100
JOHNSTOWN, PA 15904
Nurse Practitioner
1450 SCALP AVE STE 2100
JOHNSTOWN, PA 15904
Physician Assistant
1450 SCALP AVE STE 2100
JOHNSTOWN, PA 15904
Physical Medicine & Rehabilitation (Pain Medicine)
1450 SCALP AVE STE 2100
JOHNSTOWN, PA 15904
Nurse Practitioner (Family)
1450 SCALP AVE STE 2100
JOHNSTOWN, PA 15904

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 Mikki Sapkota's NPI number?

The NPI number for Mikki Sapkota is 1760006068. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Mikki Sapkota located?

Mikki Sapkota practices at 1450 Scalp Ave Ste 2100, Johnstown, PA 15904. The listed phone number is (347) 666-1266.

What is Mikki Sapkota's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mikki Sapkota enrolled in Medicare?

Yes. Mikki Sapkota 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.

Is Mikki Sapkota affiliated with any hospitals?

According to CMS data, Mikki Sapkota is affiliated with Conemaugh Nason Medical Center and Conemaugh Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Mikki Sapkota was last updated on July 16, 2024. 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.