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NIKITA MISHRA
NPI 1902623671
Physician Assistant in Glendale, AZ

Active since September 24, 2024PECOS Enrolled
19555 N 59TH AVE, GLENDALE, AZ 85308(623) 572-3200 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nikita Mishra NPPES

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

NIKITA MISHRA (NPI 1902623671) is an individual physician assistant in Glendale, Arizona and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902623671
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNIKITA MISHRA
Location Address19555 N 59TH AVEGlendale, AZ 85308-6813
Mailing Address19555 N 59th AveGlendale, AZ 85308-6813
Phone(623) 572-3200
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 24, 2024
NPPES CertifiedSeptember 24, 2024
✔ NPI 1902623671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
19555 N 59TH AVE, Glendale, AZ 85308
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikita Mishra is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163903659
PECOS Enrollment IDI20260223003149
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85308 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

ANDREW WOOD
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (310) 883-8926
ANDREA BLOCK PA-C
Physician Assistant
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200
ALIYA IMAN HABIB
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200
HUY VUONG DO
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200
SYED G MOHIUDDIN PA-C
Physician Assistant
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200
VERONICA LYNNE BUSH
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200
CHRISTOPHER LEIGH FULLMER
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (653) 572-3200
ALEXIS CATURAN
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200

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 Nikita Mishra's NPI number?

The NPI number for Nikita Mishra is 1902623671. It was assigned to this individual provider in the NPPES registry on September 24, 2024.

Where is Nikita Mishra located?

Nikita Mishra practices at 19555 N 59th Ave, Glendale, AZ 85308. The listed phone number is (623) 572-3200.

What is Nikita Mishra's specialty?

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

Is Nikita Mishra enrolled in Medicare?

Yes. Nikita Mishra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nikita Mishra was last updated on September 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.