Active NPI
Anne Marie Mishkofski, P.A.
- Physician Assistant
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110840363
- Practice address
- 7185 Harbour Towne Pkwy S Ste 200
Suffolk, VA 23435-3896 - Phone
- (757) 457-5100
- Fax
- (757) 961-3696
- NPI assigned
- Aug 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110840363 | VA | Primary |
| Medical Physician Assistant | 363AM0700X | 2359 | GA |
Addresses
Primary practice location
7185 Harbour Towne Pkwy S Ste 200
Suffolk, VA 23435-3896
Mailing address
225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone (757) 457-5100
Other practice location 1
225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone (757) 457-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7619200754 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Medical College of Georgia School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
275 Collier Rd NW
Suite 500
Atlanta, GA 30309-1711
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110840363 | VA | MD | Physician Assistant |
| 2359 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachatree Cardiovascular & Thoracic Surgeons, P.a. | Past | Accepting new patients | |
| Cardiology of Georgia | Past | Accepting new patients | |
| Peachtree Cardiovascular Surgeons at Saint Joseph's LLC | Past | Accepting new patients | |
| Surgical Assistants of America, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Piedmont Heart Institute
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1255495479
-
- Specialist
- Atlanta, GA
- NPI 1689639080
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Atlanta, GA
- NPI 1093021172
-
- Surgery Physician
- Duluth, GA
- NPI 1417977885
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": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1891708715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 CLEARFIELD AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621815",
"telephone_number": "757-457-5100",
"fax_number": "757-961-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7185 HARBOUR TOWNE PKWY S STE 200",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353896",
"telephone_number": "757-457-5100",
"fax_number": "757-961-3696"
}
],
"practiceLocations": [
{
"address_1": "225 Clearfield Ave",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234621815",
"country_code": "US",
"telephone_number": "757-457-5100",
"fax_number": "757-961-3696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISHKOFSKI",
"first_name": "ANNE",
"middle_name": "MARIE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110840363",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "2359",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7619200754",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.