MIKAYLA MARIE SHUTE DO
NPI 1922998418
Student in an Organized Health Care Education/Training Program in Du Bois, PA

Q: What is Mikayla Shute's NPI number?

The NPI number for Mikayla Shute is 1922998418. It was assigned to this individual provider in the NPPES registry on July 7, 2025.

Q: What is Mikayla Shute's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mikayla Shute was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 07, 2025PECOS Enrolled

145 HOSPITAL AVE STE 315, DU BOIS, PA 15801(814) 503-4305(814) 503-4307 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Jul 7, 2025 (2 updates tracked since 2025).

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About Mikayla Marie Shute Do NPPES

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

MIKAYLA MARIE SHUTE DO (NPI 1922998418) is an individual student in an organized health care education/training program in Du Bois, Pennsylvania, licensed in Pennsylvania (OT024317) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922998418

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMIKAYLA MARIE SHUTECredential: DO

Location Address145 HOSPITAL AVE STE 315Du Bois, PA 15801-1465

Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-4200 · Fax (814) 375-4232

Phone(814) 503-4305

Fax(814) 503-4307

Sole ProprietorNo

Enumeration DateJuly 7, 2025

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2025

✔ NPI 1922998418 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

License✔ Licensed in PA · OT024317

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 ListedFamily MedicineTaxonomy 207Q00000X · License OT024317 (PA)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mikayla Marie Shute Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

PARSA KHOSRAVIAN MD

Student in an Organized Health Care Education/Training Program