Jonathan Mizgala, DNP, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

342409 Issued in NY

Practice address

55 Central PLZ Ste B
Ilion, NY 13357-1753

Phone

(315) 444-1900

Fax

(315) 363-2549

NPI assigned

Jan 11, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, NY2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

NV Pacs 2 LLC 119 clinicians

New York General Medical Services PC 18 clinicians

MVHS Inc 330 clinicians

New Hartford Psychiatric Services PLLC 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 26)

Interoperability endpoints

• Direct secure messaging: jonathan.mizgala@newhartfordpsychiatricservices.chartmakerdirect.com
• Direct secure messaging: jonathanm@matthewsanchez.medentdirect.com
• Direct secure messaging: jmizgala32888@mvhealthsystem.direct-ci.com
• Direct secure messaging: jonathanmizgalafnp@cnyfnp.medentdirect.com

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.

• MVHS Inc

  • Family Medicine Physician
  • Utica, NY
  • NPI 1770690737

  NY

  Medicare reassignment Care Compare group NPD
• New Hartford Psychiatric Services PLLC

  • Clinical Neuropsychologist
  • Whitesboro, NY
  • NPI 1619004355

  NY

  Medicare reassignment Care Compare group NPD
• New York General Medical Services PC

  • Hospitalist Physician
  • New York, NY
  • NPI 1700315538

  NY

  Medicare reassignment Care Compare group NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  NY

  Medicare reassignment Care Compare group NPD
• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847

  NY

  Medicare reassignment NPD
• Mosaic Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ilion, NY
  • NPI 1528428208

  NY

  Medicare reassignment NPD
• Wellnow Urgent Care, PC

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162

  NY

  Medicare reassignment NPD
• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  NY

  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  Nurse Practitioner, NY

  Medicare reassignment NPD
• Rush University Medical Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542

  IL

  Medicare reassignment NPD
• Swedish Covenant Management Services, Inc.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1760432348

  IL, Nurse Practitioner

  Medicare reassignment NPD
• MVHS Inc

  • Community/Retail Pharmacy
  • Utica, NY
  • NPI 1306573753
  Care Compare group NPD

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1164968434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S WASHINGTON ST STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146141134",
            "telephone_number": "585-325-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CENTRAL PLZ STE B",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133571753",
            "telephone_number": "315-444-1900",
            "fax_number": "315-363-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZGALA",
        "first_name": "JONATHAN",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-11",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405393",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F342409",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "342409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05296391",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen D May, DDS
• Denise McVay, MPT
• Jennifer P Melnick, RN
• Kysha Messina, LPN
• Dale Robert Miller, PMNHP-BS
• Mohawk Valley Counseling Service
• Mohawk Valley Nursing Home
• Sara Michael Moran
• Mosaic Health, Inc.
• Jennifer Ann Mueller

• All providers in Ilion, NY
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.