JONATHAN MIZGALA (DNP, FNP-BC) – Nurse Practitioner, NPI 1164968434

JONATHAN MIZGALA (DNP, FNP-BC) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP-BC. They hold a License No. 405393 (NY). The NPI Number for JONATHAN MIZGALA (DNP, FNP-BC) is 1164968434

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN MIZGALA (DNP, FNP-BC)
NPI
1164968434
Phone
(315) 272-6059
Address
230 W MONROE ST
Enumeration Date
11 January 2017
Last Update Date
13 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3157977500
Graduation Year
2023 (3 years ago)
PAC ID
9739459587
Group Practice PAC ID
7810255494
Professional Enrollment ID
I20180919001139
Address ID
NY134135314NE4290XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:9State licenses:3Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

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Provider Addresses for JONATHAN MIZGALA (DNP, FNP-BC)

  • First Northern Credit Union, 230, West Monroe Street, Loop, Chicago, Cook County, Illinois, 60603, United States

    CHICAGO, IL 606064703

    Phone: (315) 272-6059

    Type: Mailing

  • 1 S WASHINGTON ST STE 300

    ROCHESTER, NY 146141134

    Phone: (585) 325-2280

    Type: Mailing

  • 55 CENTRAL PLZ STE B

    ILION, NY 133571753

    Phone: (315) 444-1900

    Fax: (315) 363-2549

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $423.

Total Amount is formed as General ($423) + Research ($0) + Ownership ($0) = $423.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($88).

Total Amount

$423

General + Research + Ownership

Payments

19

Total payment records

General Amount

$423

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170726003963INurse PractitionerILTBD
I20180919001139INurse PractitionerNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes160136$0
99203New patient office or other outpatient visit, 30-44 minutes3939$0
81002Urinalysis, manual test2826$0
99212Established patient office or other outpatient visit, 10-19 minutes2626$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen2423$0
View full utilization report →

Insurance plans in this area (ZIP 60606)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810255494View full group profile
NameSpecialtyState
Nurse PractitionerNY
Nurse PractitionerNY
-NY
P S Y C H I A T R YPA
Nurse PractitionerNY
Internal MedicineNY
Nurse PractitionerNY
Nurse PractitionerNY
Osteopathic Manipulative Medicine, Physical Medicine And RehabilitationNY
Nurse PractitionerNY

Reviews

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Frequently asked questions

What is the registry number for JONATHAN MIZGALA (DNP, FNP-BC)?
The registry entry for JONATHAN MIZGALA (DNP, FNP-BC) shows NPI 1164968434.
Is JONATHAN MIZGALA (DNP, FNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists JONATHAN MIZGALA (DNP, FNP-BC) as active.
How should patients interpret JONATHAN MIZGALA (DNP, FNP-BC)'s specialty?
The extract shows Nurse Practitioner for JONATHAN MIZGALA (DNP, FNP-BC). Clinical services aligned with this taxonomy classification.
What geographic area is tied to JONATHAN MIZGALA (DNP, FNP-BC)?
JONATHAN MIZGALA (DNP, FNP-BC) is associated with Chicago, Illinois in the same public data insurers reference.
Can I export JONATHAN MIZGALA (DNP, FNP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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