Individual provider Active NPI

Mikaela K Pope, PA-C

  • Physician Assistant
  • Eureka, CA
National Provider Identifier
1467952036
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA62764 Issued in CA
Practice address
2350 Buhne St
Eureka, CA 95501-3238
Phone
(440) 324-5555
NPI assigned
Feb 20, 2018
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA62764 CA Primary
Physician Assistant 363A00000X 50.005471RX OH

Addresses

Primary practice location

2350 Buhne St
Eureka, CA 95501-3238

Mailing address

15910 Fernway Rd
Shaker Heights, OH 44120-3358
Phone (216) 456-7432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180504000837 OH Practitioner - Physician Assistant 3173887866 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA62764CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rakesh Ranjan MD & Associates, Inc. CurrentSince May 1, 2018 Accepting new patients
Empowering Integrated Care Solutions, LLC PastSince Jul 1, 2024 Accepting new patients

Locations

347 Midway Blvd
Ste 210
Elyria, OH 44035
Phone (440) 324-5555

12395 McCracken Rd
Ste H
Garfield Hts, OH 44125
Phone (216) 375-9897

801 E Washington St
Ste 150
Medina, OH 44256
Phone (330) 722-1069

Interoperability endpoints

  • Direct secure messaging: mpope671943@direct.ochin.org

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1467952036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15910 FERNWAY RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441203358",
            "telephone_number": "216-456-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 BUHNE ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013238",
            "telephone_number": "440-324-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "MIKAELA",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62764",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005471RX",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.