Individual provider Active NPI

Anastacia Austriaco Mesina, PA-C

  • Medical Physician Assistant
  • Merrillville, IN
National Provider Identifier
1356933428
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10003220A Issued in IN
Practice address
101 E 87TH Ave Ste 420
Merrillville, IN 46410-7335
Phone
(219) 947-1910
Fax
(219) 769-2313
NPI assigned
Feb 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 10003220A IN Primary

Addresses

Primary practice location

101 E 87TH Ave Ste 420
Merrillville, IN 46410-7335

Mailing address

7895 Grand Blvd
Hobart, IN 46342-6665
Phone (219) 947-1910

Other practice location 1

7895 Grand Blvd
Hobart, IN 46342-6665
Phone (219) 947-1910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210604000474 IN Practitioner - Physician Assistant 7719386143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians

Practice addresses (Care Compare)

200 E 89TH Ave
Merrillville, IN 46410-7318

600 Grant St
Gary, IN 46402-6001

8701 Broadway
Merrillville, IN 46410-7035
Phone (219) 738-4926

8777 Broadway
Merrillville, IN 46410-6693
Phone (219) 738-3854

Hospital & facility affiliations

  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc. Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
The Methodist Hospitals, Inc Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
The Methodist Hospitals, Inc Single Specialty Past Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

7895 Grand Blvd
Hobart, IN 46342
Phone (219) 947-1910

6121 Cleveland St
Merrillville, IN 46410
Phone (219) 738-5985

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

101 E 87th Ave
Ste 420
Merrillville, IN 46410
Phone (219) 769-2041

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

101 E 87th Ave
Merrillville, IN 46410
Phone (219) 738-6670

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1356933428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7895 GRAND BLVD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426665",
            "telephone_number": "219-947-1910",
            "fax_number": "219-942-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 87TH AVE STE 420",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107335",
            "telephone_number": "219-947-1910",
            "fax_number": "219-769-2313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7895 Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "IN",
            "postal_code": "463426665",
            "country_code": "US",
            "telephone_number": "219-947-1910",
            "fax_number": "219-942-3829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESINA",
        "first_name": "ANASTACIA",
        "middle_name": "AUSTRIACO",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10003220A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.