Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497453096 Individual Practitioner Female Practitioner

Mikaela Namey , PA-C

Physician Assistant • Conshohocken, PA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Mikaela Namey, PA-C is a registered healthcare professional specializing in Physician Assistant in Conshohocken, PA. Official NPI practice address is registered at 625 W RIDGE PIKE STE 300.

Practice Location & Contact Primary Location

Practice Address

625 W Ridge Pike Ste 300

Conshohocken, PA 194281180

Telephone 6108251994
Associated Practice Facility / Clinic
🏢 Sunshine Pediatrics Llc Facility NPI 1417991704

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Conshohocken, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.8 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Conshohocken, PA (8068 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA MA064319

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License PA OA006374

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical Physician Assistant
MA064319 (PA)
Commercial Insurance / Payer ID Osteopathic Physician Assistant
OA006374 (PA)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Elizabeth Sano , APRN

Nurse Practitioner - Pediatrics

NPI 1023404555

Advanced Practice Registered Nurse

NPI 1215997499

Doctor of Osteopathic Medicine (D.O.)

NPI 1356382360

Doctor of Medicine (M.D.)

NPI 1699732784

Doctor of Medicine (M.D.)

NPI 1780613034

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 22, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2023

Registered at 625 W RIDGE PIKE STE 300, CONSHOHOCKEN, PA 194281180 (Tel: 6108251994)

📍
Updated Business Mailing Address February 22, 2023

Registered at 109 KENT DR, NORTH WALES, PA 194541926 (Tel: 2153503919)

👤
Provider Name / Credentials Updated February 22, 2023

Recorded as MIKAELA NAMEY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2023

Physician Assistant (License #MA064319 in PA)

🟢
Initial NPI Registration & Enumeration February 22, 2023

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: 1497453096
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2023
Last Update: February 22, 2023
Sole Proprietor: No

Mailing Address

109 Kent Dr

North Wales, PA 194541926

Phone: 2153503919

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.