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MIKAYLA JENNY GRANATA PA-C
NPI 1952099962
Physician Assistant in Manchester, NH

Active since April 27, 2023PECOS EnrolledAccepts Medicare Assignment
738 HOOKSETT RD, MANCHESTER, NH 03104(603) 384-3900 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2024, Nov 16, 2023, Jul 18, 2023 (3 updates tracked since 2023).

About Mikayla Jenny Granata Pa-c NPPES

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

MIKAYLA JENNY GRANATA PA-C (NPI 1952099962) is an individual physician assistant in Manchester, New Hampshire, licensed in New Hampshire (2063) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Merrimack, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1952099962
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIKAYLA JENNY GRANATACredential: PA-C
Location Address738 HOOKSETT RDManchester, NH 03104-2617
Mailing Address360 Us Highway 1 Byp Unit 102Portsmouth, NH 03801-7105 · (603) 410-6700 · Fax (603) 319-8308
Phone(603) 384-3900
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 27, 2023
Last NPPES UpdateJune 13, 20243 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1952099962 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 NH · 2063
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.
738 HOOKSETT RD, Manchester, NH 03104
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Other Names 1

Former Name (1)Mikayla Jenny Konecny Pa-c

Secondary Practice Location 1

Location 12 Dobson WayMerrimack, NH 03054-4340 · Phone (603) 471-6069 · Fax (603) 471-6068

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

Mikayla Jenny Granata Pa-c 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 ID4880058874
PECOS Enrollment IDI20230908002476, I20250612000172, I20251230000454
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 3

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.
54 services54 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.
38 services38 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03104 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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 7

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

PRISCILLA HEARD FNP
Nurse Practitioner (Family)
738 HOOKSETT RD
MANCHESTER, NH 03104
Hillsborough County (603) 384-3900
STEFANIE MORGAN FREETHEY PA-C
Physician Assistant
738 HOOKSETT RD
MANCHESTER, NH 03104
Hillsborough County (603) 384-3900
SUSAN WEATHERBY FNP-BC
Nurse Practitioner (Family)
738 HOOKSETT RD
MANCHESTER, NH 03104
Hillsborough County (603) 384-3900
MIKAYLA GRASSIA PA-C
Physician Assistant
738 HOOKSETT RD
MANCHESTER, NH 03104
Hillsborough County (603) 384-3900
CONVENIENTMD LLC
Clinic/Center (Urgent Care)
738 HOOKSETT RD
MANCHESTER, NH 03104
Hillsborough County (603) 384-3900
KATHRYN MARIE MOSTONE FNP-BC
Nurse Practitioner
738 HOOKSETT RD
MANCHESTER, NH 03104
Hillsborough County (603) 384-3900
CONVENIENTMD - FFS UC LLC
Clinic/Center (Urgent Care)
738 HOOKSETT RD
MANCHESTER, NH 03104
Hillsborough County (603) 384-3900

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 Mikayla Granata's NPI number?

The NPI number for Mikayla Granata is 1952099962. It was assigned to this individual provider in the NPPES registry on April 27, 2023. The provider is also known as Mikayla Jenny Konecny Pa-C.

Where is Mikayla Granata located?

Mikayla Granata practices at 738 Hooksett Rd, Manchester, NH 03104. The listed phone number is (603) 384-3900.

What is Mikayla Granata's specialty?

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

Is Mikayla Granata enrolled in Medicare?

Yes. Mikayla Granata 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.

When was this NPI record last updated?

The NPPES record for Mikayla Granata was last updated on June 13, 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.