Individual provider Active NPI

Mikaela Danielle Panko

  • Obstetrics & Gynecology Physician
  • Erie, PA
National Provider Identifier
1437737574
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS024673 Issued in PA
Practice address
100 Peach St Ste 300
Erie, PA 16507-1423
Phone
(330) 375-6119
Fax
(330) 375-7813
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X OS024673 PA Primary

Addresses

Primary practice location

100 Peach St Ste 300
Erie, PA 16507-1423

Mailing address

525 E Market St
Akron, OH 44304-1619
Phone (330) 375-6119

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731003069 PA Practitioner - Obstetrics/Gynecology 1355859463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN Associates of Erie, PCGroup PAC ID 9133028616, 60 clinicians

Practice addresses (Care Compare)

100 Peach St
Erie, PA 16507-1423
Phone (814) 459-1851

Hospital & facility affiliations

  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Upmc Hamot Hospital, Erie, PA, CCN 390063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS024673PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Associates of Erie, PC Obstetrics & Gynecology CurrentSince Jul 15, 2025 Accepting new patients
Saint Vincent Health Center Past Accepting new patients
Upmc Hamot Past Accepting new patients
Francis H. Tseng MD Obstetrics & Gynecology PastSince Jul 15, 2025 Accepting new patients

Locations

100 Peach St
Ste 300
Erie, PA 16507
Phone (814) 459-1851

2315 Myrtle St
Ste 220
Erie, PA 16502
Phone (814) 454-8185

Interoperability endpoints

  • Direct secure messaging: mpanko1042944@direct.ahn.org
  • Direct secure messaging: mpanko28382@summahealth-direct.org
  • Direct secure messaging: mikaela.panko.1@28732.direct.athenahealth.com

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 3

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1437737574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041619",
            "telephone_number": "330-375-6119",
            "fax_number": "330-375-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEACH ST STE 300",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071423",
            "telephone_number": "330-375-6119",
            "fax_number": "330-375-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKO",
        "first_name": "MIKAELA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS024673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.