Active NPI 1588734628 Individual Practitioner Female Practitioner

Nancy L Vitello Mikiska , PA-C

Physician Assistant • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nancy Vitello Mikiska, PA-C is a certified Physician Assistant practicing in Spokane, WA. With approximately 32 years of clinical experience since completing medical education in 1994, Nancy Vitello Mikiska delivers high-quality medical care to the local community at 62 W 7TH AVE STE 450.

Nancy Vitello Mikiska is affiliated with Providence Health And Services Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

62 W 7th Ave Ste 450

Spokane, WA 992042321

Telephone 5094558820

Fax 5098384978

Associated Practice Facility / Clinic

🏢 Spokane Cardiology Ps Facility NPI 1639116452

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Spokane, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +19.8 yrs vs City Avg

City Avg: 12.2 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

320 Specialists

Practicing in Spokane, WA (3774 Statewide)

Telehealth Adoption Rate

14.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vitello Mikiska (32 Years) 32 Yrs

Spokane Specialty Average (12.2 Years) 12.2 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	684	648	$391.00	$108.30
93000 Routine ekg using at least 12 leads including interpretation and report	346	334	$45.00	$12.06
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$276.00	$77.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$546.00	$152.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$343.00	$94.21

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	715	658	$368.00	$107.64
93000 Routine ekg using at least 12 leads including interpretation and report	393	377	$42.00	$12.25
93280 Programming of dual lead pacemaker system	58	58	$224.53	$66.72
99213 Established patient office or other outpatient visit, typically 15 minutes	47	46	$260.00	$75.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$323.00	$94.98
93284 Programming of multiple lead implantable defibrillator system	15	14	$299.07	$88.66
93279 Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report	12	12	$188.00	$55.82

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	629	576	$341.00	$109.28
93000 Routine ekg using at least 12 leads including interpretation and report	189	181	$38.00	$12.20
99213 Established patient office or other outpatient visit, typically 15 minutes	85	85	$242.00	$77.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$299.00	$93.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	31	$481.00	$155.24

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	518	496	$331.00	$111.62
93000 Routine ekg using at least 12 leads including interpretation and report	154	153	$37.00	$12.71
99213 Established patient office or other outpatient visit, typically 15 minutes	84	83	$233.00	$79.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	21	$180.00	$61.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	31	$464.00	$151.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$429.00	$139.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$285.00	$97.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$145.00	$48.96

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	459	425	$266.00	$93.52
99442 Telephone medical discussion with physician, 11-20 minutes	42	40	$184.00	$64.79
99213 Established patient office or other outpatient visit, typically 15 minutes	39	39	$184.00	$64.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	19	$177.00	$62.97
93000 Routine ekg using at least 12 leads including interpretation and report	19	18	$42.00	$14.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$264.00	$90.09
99443 Telephone medical discussion with physician, 21-30 minutes	16	16	$266.00	$93.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$358.00	$127.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$403.00	$126.47

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	560	524	$266.00	$92.26
93000 Routine ekg using at least 12 leads including interpretation and report	112	110	$42.00	$14.53
99213 Established patient office or other outpatient visit, typically 15 minutes	47	46	$181.30	$63.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	27	$178.00	$62.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$265.00	$93.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$403.00	$141.34
99239 Hospital discharge day management, more than 30 minutes	13	13	$263.00	$92.17

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	607	568	$253.00	$91.06
93000 Routine ekg using at least 12 leads including interpretation and report	261	258	$40.00	$14.33
99213 Established patient office or other outpatient visit, typically 15 minutes	138	137	$171.00	$61.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	23	$171.00	$61.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$387.00	$132.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$254.00	$91.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$92.00	$33.38

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	458	430	$252.00	$90.37
99213 Established patient office or other outpatient visit, typically 15 minutes	279	259	$171.00	$61.63
93000 Routine ekg using at least 12 leads including interpretation and report	253	247	$40.00	$14.20
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	33	33	$52.00	$18.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	20	$170.00	$60.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$339.00	$122.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	15	$92.00	$32.88
93270 Heart rhythm symptom-related tracing of 24-hour ekg monitoring up to 30 days	11	11	$22.00	$9.19

Medical Specialties & State Licenses

CMS Verified: 2026-03-20

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10003223

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

Medicaid State Provider ID

8324261 (WA)

Hospital & Practice Group Affiliations

Providence Health And Services Washington

62 W 7th Ave, Spokane, WA 992042321

Providence Health And Services Washington

212 E Central Ave, Spokane, WA 992086597

Phone: 5094558820

Providence Health And Services Washington

825 Se Bishop Blvd, Pullman, WA 991635517

Phone: 5094558820

Secondary Practice Locations

421 S Division St

Spokane, WA 992021331

Phone: 5094742100

Practice Associates & Co-Workers

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

40 Associated Practitioners

Kristin Walters , ARNP

Nurse Practitioner - Gerontology

NPI 1003222845

Advanced Registered Nurse Practitioner

Callie Adams

Nurse Practitioner - Family

NPI 1003327784

Dr. Robert Wales , MD, FACC

Internal Medicine - Cardiovascular Disease

NPI 1003820275

Doctor of Medicine (M.D.), FACC

Dr. John Peterson , MD, FACC

Internal Medicine - Cardiovascular Disease

NPI 1013931997

Doctor of Medicine (M.D.), FACC

Dr. Janice Christensen , MD, FACC

Internal Medicine - Cardiovascular Disease

NPI 1023032976

Doctor of Medicine (M.D.), FACC

Sandra Dickey , PA-C

Physician Assistant

NPI 1023188182

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location March 20, 2026

Registered at 62 W 7TH AVE STE 450, SPOKANE, WA 992042321 (Tel: 5094558820)

📍

Updated Business Mailing Address March 20, 2026

Registered at PO BOX 31001-4114, PASADENA, CA 911100001 (Tel: 8667472455)

✅

NPI Profile Active March 10, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address March 10, 2017

Registered at PO BOX 331, LIBERTY LAKE, WA 990190331 (Tel: 5094558820)

📍

Updated Practice Location March 10, 2017

Registered at 122 W 7TH AVE, 450, SPOKANE, WA 992042349 (Tel: 5094558820)

👤

Provider Name / Credentials Updated March 10, 2017

Recorded as NANCY VITELLO MIKISKA, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2017

Physician Assistant (License #PA10003223 in WA)

✅

NPI Profile Active October 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 05, 2011

Registered at 122 W 7TH AVE, 450, SPOKANE, WA 992042349 (Tel: 5094558820)

📍

Updated Business Mailing Address October 05, 2011

Registered at 122 W 7TH AVE, 450, SPOKANE, WA 992042349 (Tel: 5094558820)

👤

Provider Name / Credentials Updated October 05, 2011

Recorded as NANCY VITELLO, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2011

Physician Assistant (License #PA10003223 in WA)

🟢

Initial NPI Registration & Enumeration November 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1588734628

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 08, 2006

Last Update: March 20, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 31001-4114

Pasadena, CA 911100001

Phone: 8667472455

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

⚠️ Medical Disclaimer

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