Individual provider Active NPI

Mandee Mikeska

  • Family Nurse Practitioner
  • Mt Pleasant, PA
National Provider Identifier
1083924872
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP010992 Issued in PA
Practice address
508 S Church St Ste 202
Suite 202
Mt Pleasant, PA 15666-1702
Phone
(724) 547-7092
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP010992 PA Primary

Addresses

Primary practice location

508 S Church St Ste 202
Suite 202
Mt Pleasant, PA 15666-1702

Mailing address

508 S Church St Ste 202
Suite 202
Mt Pleasant, PA 15666-1702

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000420 PA Practitioner - Nurse Practitioner 3173706512 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hematology Oncology AssociationGroup PAC ID 2860413002, 76 clinicians

Practice addresses (Care Compare)

200 Village Dr
Greensburg, PA 15601-3783
Phone (724) 838-1900

Hospital & facility affiliations

  • Excela Health - Frick Hospital Hospital, Mount Pleasant, PA, CCN 390217
  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145
  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP010992PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology Oncology Association CurrentSince Mar 19, 2013 Accepting new patients
Hematology Oncology Association CurrentSince Mar 19, 2013 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Mountain View Cancer Associates, LLP CurrentSince Oct 19, 2010 Accepting new patients
Mountain View Cancer Associates CurrentSince Oct 19, 2010 Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

200 Village Dr
Greensburg, PA 15601
Phone (412) 469-5500

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

134 Industrial Park Rd
Ste 1500
Greensburg, PA 15601

530 South St
Ste 360
Greensburg, PA 15601
Phone (724) 539-3555

100 Excela Health Dr
Ste 301
Latrobe, PA 15650
Phone (724) 537-1480

1500 5th Ave
McKeesport, PA 15132
Phone (412) 664-2167

400 Oxford Dr
Ste 102
Monroeville, PA 15146
Phone (412) 374-1441

508 S Church St
Ste 202
Mt Pleasant, PA 15666
Phone (724) 547-7092

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1083924872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S CHURCH ST STE 202",
            "address_2": "SUITE 202",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S CHURCH ST STE 202",
            "address_2": "SUITE 202",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661702",
            "telephone_number": "724-547-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKESKA",
        "first_name": "MANDEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

Verify at the official NPI Registry.