Active NPI
Doug Mizic, NNP-BC
- Critical Care Neonatal Nurse Practitioner
- Harrisburg, PA
National Provider Identifier
1932037660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- SP036399
- Practice address
- 111 S Front St
Harrisburg, PA 17101-2010 - Phone
- (717) 782-5223
- Fax
- (717) 221-5320
- NPI assigned
- May 12, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | SP036399 | PA | Primary |
Addresses
Primary practice location
111 S Front St
Harrisburg, PA 17101-2010
Mailing address
111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-5223
Other practice location 1
1701 Innovation Dr
York, PA 17408-8815
Phone (717) 850-4040
Other practice location 2
361 Alexander Spring Rd
Carlisle, PA 17015-6940
Phone (717) 960-1687
Other practice location 3
1500 Highlands Dr
Lititz, PA 17543-7694
Phone (717) 568-8865
Other practice location 4
101 S 2nd St
Harrisburg, PA 17101-2509
Phone (717) 782-3519
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN676078 | PA | MD | Critical Care Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1932037660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171012010",
"telephone_number": "717-782-5223",
"fax_number": "717-221-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171012010",
"telephone_number": "717-782-5223",
"fax_number": "717-221-5320"
}
],
"practiceLocations": [
{
"address_1": "1701 Innovation Dr",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174088815",
"country_code": "US",
"telephone_number": "717-850-4040",
"fax_number": "717-850-4144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "361 Alexander Spring Rd",
"address_purpose": "LOCATION",
"city": "Carlisle",
"state": "PA",
"postal_code": "170156940",
"country_code": "US",
"telephone_number": "717-960-1687",
"fax_number": "717-960-3482",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Highlands Dr",
"address_purpose": "LOCATION",
"city": "Lititz",
"state": "PA",
"postal_code": "175437694",
"country_code": "US",
"telephone_number": "717-568-8865",
"fax_number": "717-231-8756",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 S 2nd St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171012509",
"country_code": "US",
"telephone_number": "717-782-3519",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIZIC",
"first_name": "DOUG",
"credential": "NNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-12",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "PA",
"license": "SP036399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.