Active NPI
Michele A Mikula, CRNA
- Certified Registered Nurse Anesthetist
- Lititz, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 039246
- Practice address
- 1500 Highlands Dr
Lititz, PA 17543-7694 - Phone
- (717) 782-3282
- Fax
- (717) 231-8964
- NPI assigned
- Jul 23, 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 039246 | PA | Primary |
| Registered Nurse | 163W00000X | RN240542-L | PA |
Addresses
Primary practice location
1500 Highlands Dr
Lititz, PA 17543-7694
Mailing address
420 W Bertsch St
Lansford, PA 18232-1003
Phone (570) 645-4476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1783409 | Other | PA | HIGHMARK BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmikula62266@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Highlands Dr
Lititz, PA 17543-7694
Phone (717) 782-3282
Hospital & facility affiliations
- Upmc Lititz
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN240542-L | PA | MD | Registered Nurse |
| 039246 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| Rgal Anesthesia Services LLC | Current | Accepting new patients | |
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| Upmc Pinnacle Anesthesia Services, LLC | Current | Accepting new patients | |
| Upmc Pinnacle Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regional Gastroenterology Associates of Lancaster, LTD. | Past | Accepting new patients |
Locations
210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300
366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900
361 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 249-1211
111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400
1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Harrisburg, PA
- NPI 1730693979
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1013441690
-
- Anesthesiology Physician
- Lancaster, PA
- NPI 1699055251
-
- Rheumatology Physician
- Lancaster, PA
- NPI 1730609991
-
- Certified Registered Nurse Anesthetist
- Harrisburg, PA
- NPI 1942867064
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1154422806
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lititz, PA
- NPI 1285167916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1982625810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W BERTSCH ST",
"city": "LANSFORD",
"state": "PA",
"postal_code": "182321003",
"telephone_number": "570-645-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 HIGHLANDS DR",
"city": "LITITZ",
"state": "PA",
"postal_code": "175437694",
"telephone_number": "717-782-3282",
"fax_number": "717-231-8964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKULA",
"first_name": "MICHELE",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "039246",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN240542-L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1783409",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmikula62266@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "1500 Highlands Dr",
"city": "Lititz",
"state": "PA",
"country_code": "US",
"postal_code": "175437694",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lititz, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.