Individual provider Active NPI

Mikayla Elizabeth Panich, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1932828670
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
32288 Issued in TN
Practice address
10142 Parkside Dr Ste 114
Knoxville, TN 37922-1955
Phone
(865) 588-3173
Fax
(615) 369-8697
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 32288 TN Primary

Addresses

Primary practice location

10142 Parkside Dr Ste 114
Knoxville, TN 37922-1955

Mailing address

10142 Parkside Dr Ste 114
Knoxville, TN 37922-1955
Phone (865) 588-3173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20221110002785 TN Practitioner - Nurse Practitioner 3072980648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Mind Counseling Services, IncGroup PAC ID 8325093081, 120 clinicians

Practice addresses (Care Compare)

6305 Lonas Dr
Suite 101
Knoxville, TN 37909-3203
Phone (865) 588-3173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc CurrentSince Aug 22, 2022 Accepting new patients

Locations

6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291

10142 Parkside Dr
Ste 114
Knoxville, TN 37922

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.mikaylavican@148560.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1932828670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10142 PARKSIDE DR STE 114",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221955",
            "telephone_number": "865-588-3173",
            "fax_number": "615-369-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10142 PARKSIDE DR STE 114",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221955",
            "telephone_number": "865-588-3173",
            "fax_number": "615-369-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANICH",
        "first_name": "MIKAYLA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "32288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.