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Active NPI 1669860979 Individual Practitioner Female Practitioner

Vanessa Kelly Mizak , FNP-C, AGCNS-BC

Nurse Practitioner • Corvallis, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Vanessa Mizak, FNP-C, AGCNS-BC is a certified Nurse Practitioner practicing in Corvallis, OR. With approximately 12 years of clinical experience since completing medical education in 2014, Vanessa Mizak delivers high-quality medical care to the local community at 3600 NW SAMARITAN DR STE 227.

Vanessa Mizak is affiliated with Good Samaritan Hospital Corvallis and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service;, test for exercise-induced lung stress. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3600 Nw Samaritan Dr Ste 227

Corvallis, OR 973303737

Telephone 5417681261
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Corvallis, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -4.1 yrs vs City Avg
City Avg: 16.1 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
16 Specialists

Practicing in Corvallis, OR (615 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
61.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mizak (12 Years) 12 Yrs
Corvallis Specialty Average (16.1 Years) 16.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
169 131 $140.00 $79.17
99213 Established patient office or other outpatient visit, typically 15 minutes
104 95 $96.00 $53.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
98 86 $192.00 $117.32
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
36 23 $84.00 $25.35
94618 Test for exercise-induced lung stress
27 25 $66.00 $17.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
21 21 $60.00 $28.72
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)
19 19 $81.00 $20.57
99443 Telephone medical discussion with physician, 21-30 minutes
17 17 $371.00 $79.05

Medical Specialties & State Licenses

CMS Verified: 2021-09-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OR 201804760NP-PP

(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 - Family

NUCC Taxonomy Code: 363LF0000X

State License CO 0993810

Definition to come...

Clinical Nurse Specialist

NUCC Taxonomy Code: 364S00000X

State License OR 201804762CNS

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

Clinical Nurse Specialist

NUCC Taxonomy Code: 364S00000X

State License CO APN.0991563-CNS

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
85780073 (CO)
Commercial Insurance / Payer ID Mcr Railroad
P01618686 (CO)

Hospital & Practice Group Affiliations

Good Samaritan Hospital Corvallis

3600 Nw Samaritan Dr, Corvallis, OR 973303737

Phone: 5417681261

Good Samaritan Hospital Corvallis

3600 Nw Samaritan Dr, Corvallis, OR 973303737

Good Samaritan Hospital Corvallis

3640 Nw Samaritan Dr, Corvallis, OR 973303787

Phone: 5417685810

Secondary Practice Locations

3680 Nw Samaritan Dr

Corvallis, OR 97330

Phone: 5417541150

3640 Nw Samaritan Dr Ste 110

Corvallis, OR 973303787

Phone: 5417681261

Practice Associates & Co-Workers

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

4 Associated Practitioners
Tomer Pelleg

Internal Medicine

NPI 1003158700
Dr. James Knight , MD

Internal Medicine - Critical Care Medicine

NPI 1245402320

Doctor of Medicine (M.D.)

Dr. Donald Slusarenko , DO

Internal Medicine - Pulmonary Disease

NPI 1770112815

Doctor of Osteopathic Medicine (D.O.)

Austin Loranger

Internal Medicine

NPI 1952857591

Career & Practice History Timeline

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

19 Historical Events
📍
Updated Practice Location September 13, 2021

Registered at 3600 NW SAMARITAN DR STE 227, CORVALLIS, OR 973303737 (Tel: 5417681261)

📍
Updated Practice Location March 15, 2021

Registered at 3640 NW SAMARITAN DR STE 110, CORVALLIS, OR 973303787 (Tel: 5417681261)

📍
Updated Business Mailing Address March 15, 2021

Registered at PO BOX 1189, CORVALLIS, OR 973391189

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2020

Nurse Practitioner (License #201804760NP-PP in OR)

📍
Updated Practice Location September 05, 2018

Registered at 3680 NW SAMARITAN DR, CORVALLIS, OR 97330 (Tel: 5417541150)

📍
Updated Business Mailing Address September 05, 2018

Registered at 444 NW ELKS DR, CORVALLIS, OR 973303758 (Tel: 5417541150)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2018

Nurse Practitioner (License #0993810 in CO)

👤
Provider Name / Credentials Updated July 31, 2018

Recorded as VANESSA MIZAK, FNP-C, AGCNS-BC

NPI Profile Active May 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2017

Registered at 2551 W 84TH AVE, WESTMINSTER, CO 800313807 (Tel: 3035615010)

📍
Updated Business Mailing Address May 08, 2017

Registered at 2551 W 84TH AVE, WESTMINSTER, CO 800313807 (Tel: 3035615010)

👤
Provider Name / Credentials Updated May 08, 2017

Recorded as VANESSA MIZAK, AGCNS-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2017

Clinical Nurse Specialist (License #APN.0991563-CNS in CO)

NPI Profile Active January 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2015

Registered at 13452 WILLIAMS ST, THORNTON, CO 802411967 (Tel: 7202201229)

📍
Updated Business Mailing Address January 08, 2015

Registered at 13452 WILLIAMS ST, THORNTON, CO 802411967 (Tel: 7202201229)

👤
Provider Name / Credentials Updated January 08, 2015

Recorded as VANESSA MIZAK, AGCNS-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2015

Clinical Nurse Specialist (License #0991563 in CO)

🟢
Initial NPI Registration & Enumeration January 08, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669860979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2015
Last Update: September 13, 2021
Sole Proprietor: No

Mailing Address

Po Box 1189

Corvallis, OR 973391189

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.