Active NPI
Mikayla Anne Leo, PA-C
- Physician Assistant
- Pella, IA
National Provider Identifier
1669246732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 405 Monroe St
Pella, IA 50219-1189 - Phone
- (641) 621-2200
- Fax
- (641) 628-7241
- NPI assigned
- Nov 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
405 Monroe St
Pella, IA 50219-1189
Mailing address
2213 26TH Ave SW
Altoona, IA 50009
Phone (515) 868-8714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
920 N Quincy Ave
Ottumwa Medical Clinic
Ottumwa, IA 52501-3866
Phone (641) 455-5200
Hospital & facility affiliations
- Pella Regional Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pella Regional Health Center | Current | Accepting new patients | |
| Pella Regional Health Center | Current | Accepting new patients |
Locations
405 Monroe St
Pella, IA 50219
Phone (641) 621-2200
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Pella, IA
- NPI 1053369405
-
- Critical Access Hospital
- Pella, IA
- NPI 1578520888
-
- Community/Retail Pharmacy
- Prairie City, IA
- NPI 1033787445
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Pella, IA
- NPI 1578520888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1669246732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 26TH AVE SW",
"city": "ALTOONA",
"state": "IA",
"postal_code": "50009",
"telephone_number": "515-868-8714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 MONROE ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191189",
"telephone_number": "641-621-2200",
"fax_number": "641-628-7241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEO",
"first_name": "MIKAYLA",
"middle_name": "ANNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-09",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.