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Active NPI 1164968434 Individual Practitioner Male Practitioner

Dr. Jonathan Mizgala , DNP, FNP-BC

Nurse Practitioner • Ilion, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Mizgala, DNP, FNP-BC is a certified Nurse Practitioner practicing in Ilion, NY. With approximately 3 years of clinical experience since completing medical education in 2023, Dr. Mizgala delivers high-quality medical care to the local community at 55 CENTRAL PLZ STE B.

Dr. Mizgala maintains professional affiliations with Nv Pacs 2 Llc, New Hartford Psychiatric Services Pllc, Mvhs Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, psychiatric diagnostic evaluation with medical services. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Central Plz Ste B

Ilion, NY 133571753

Telephone 3154441900
Fax 3153632549
Associated Practice Facility / Clinic
🏢 Mosaic Health, Inc. Facility NPI 1528428208

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ilion, NY

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs Matches City Avg
City Avg: 3.0 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Ilion, NY (3155 Statewide)

Telehealth Adoption Rate
100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
76.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mizgala (3 Years) 3 Yrs
Ilion Specialty Average (3.0 Years) 3.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
255 88 $327.80 $86.75
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
186 58 $331.42 $86.75
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
129 33 $436.05 $102.63
90792 Psychiatric diagnostic evaluation with medical services
103 103 $646.15 $137.42
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
98 57 $254.74 $59.96
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
39 21 $255.03 $59.96
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
30 16 $285.47 $61.88
90792 Psychiatric diagnostic evaluation with medical services
20 20 $643.45 $158.72

Medical Specialties & State Licenses

CMS Verified: 2023-12-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY 342409

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License NY 405393

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License NY F342409

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
05296391 (NY)

Hospital & Practice Group Affiliations

New York General Medical Services Pc

114 Utica Rd, Clinton, NY 133231543

Phone: 3158015261

Nv Pacs 2 Llc

1445 Kemble St, Utica, NY 135014441

Phone: 3157320100

Mvhs Inc

1676 Sunset Ave, Utica, NY 135025416

Phone: 3156256000

New York General Medical Services Pc

4290 Middle Settlement Rd, New Hartford, NY 134135314

Phone: 3157977500

New Hartford Psychiatric Services Pllc

238 Oriskany Blvd, Whitesboro, NY 134921540

Phone: 3157687181

New York General Medical Services Pc

40 Autumn Dr, Slingerlands, NY 121599356

Phone: 5184828774

Nv Pacs 2 Llc

4290 Middle Settlement Rd, New Hartford, NY 134135314

Phone: 3157977500

New York General Medical Services Pc

131 Lawrence St, Saratoga Springs, NY 128661346

Phone: 7166658114

New York General Medical Services Pc

1445 Kemble St, Utica, NY 135014441

Phone: 3157320100

Nv Pacs 2 Llc

110 Utica Rd, Clinton, NY 133231548

Phone: 3158535515

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Kailee Catalano

Physician Assistant

NPI 1093552044
Rachel Andrello

Nurse Practitioner - Family

NPI 1124675103
Karylanne Kelley , MACMHC

Counselor - Mental Health

NPI 1215746557
Patricia Gorman , NP

Nurse Practitioner

NPI 1255527438

Nurse Practitioner

Jessica Jeong , PA

Physician Assistant - Medical

NPI 1326424888

Physician Assistant

Renee Frawley , RPA-C

Physician Assistant

NPI 1508175258

RPAC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2023

Nurse Practitioner (License #405393 in NY)

📍
Updated Practice Location December 04, 2023

Registered at 55 CENTRAL PLZ STE B, ILION, NY 133571753 (Tel: 3154441900)

📍
Updated Business Mailing Address December 04, 2023

Registered at 1 S WASHINGTON ST STE 300, ROCHESTER, NY 146141134 (Tel: 5853252280)

📍
Updated Practice Location February 10, 2023

Registered at 357 GENESEE ST STE 2, ONEIDA, NY 134212658 (Tel: 3153632123)

📍
Updated Business Mailing Address February 10, 2023

Registered at 357 GENESEE ST STE 2, ONEIDA, NY 134212658 (Tel: 3153632123)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2022

Nurse Practitioner (License #342409 in NY)

NPI Profile Active January 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2017

Registered at 230 W MONROE ST, 1925, CHICAGO, IL 606064703 (Tel: 3152726059)

📍
Updated Business Mailing Address January 11, 2017

Registered at 230 W MONROE ST, CHICAGO, IL 606064703 (Tel: 3152726059)

👤
Provider Name / Credentials Updated January 11, 2017

Recorded as JONATHAN MIZGALA, DNP, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2017

Nurse Practitioner (License #209015373 in IL)

🟢
Initial NPI Registration & Enumeration January 11, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1164968434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2017
Last Update: December 13, 2023
Sole Proprietor: Yes

Mailing Address

1 S Washington St Ste 300

Rochester, NY 146141134

Phone: 5853252280

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.