Individual provider Active NPI

Mikayla Marie Panchal, FNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1174357487
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP032288 Issued in PA
Practice address
2201 Park Manor Blvd
Pittsburgh, PA 15205-4819
Phone
(724) 773-8950
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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 SP032288 PA Primary

Addresses

Primary practice location

2201 Park Manor Blvd
Pittsburgh, PA 15205-4819

Mailing address

4029 Windsfield Way
Bridgeville, PA 15017-3117
Phone (412) 627-3155

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
I20251125001098 PA Practitioner - Nurse Practitioner 1153813316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Valley Multispecialty Group IncGroup PAC ID 0042105678, 229 clinicians

Practice addresses (Care Compare)

2719 Brodhead Rd
Aliquippa, PA 15001-2793
Phone (724) 419-9200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP032288PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc CurrentSince Oct 20, 2025 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Oct 20, 2025 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Current Accepting new patients
Heritage Valley Medical Group, Inc. Past Accepting new patients

Locations

2719 Brodhead Rd
Aliquippa, PA 15001
Phone (724) 378-4411

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

2580 Constitution Blvd
Ste 1A
Beaver Falls, PA 15010

273 State Route 288
Ellwood City, PA 16117
Phone (724) 758-7044

27 Heckel Rd
Ste 210
Mc Kees Rocks, PA 15136
Phone (412) 262-4694

79 Wagner Rd
Ste 100
Monaca, PA 15061

2201 Park Manor Blvd
Pittsburgh, PA 15205
Phone (412) 749-6920

2201 Park Manor Blvd
Ste 200
Pittsburgh, PA 15205
Phone (724) 773-8950

100 Hazel Ln
Fl 1
Sewickley, PA 15143
Phone (412) 749-6816

Interoperability endpoints

  • Direct secure messaging: mikaylapanchal@hvhs.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1174357487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 WINDSFIELD WAY",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150173117",
            "telephone_number": "412-627-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 PARK MANOR BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054819",
            "telephone_number": "724-773-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "MIKAYLA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP032288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.