STEPHANIE R MIGNANO (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1063933653

STEPHANIE R MIGNANO (DPM) is a healthcare provider. based in Wellsboro, Pennsylvania. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. SC006817 (PA). The NPI Number for STEPHANIE R MIGNANO (DPM) is 1063933653

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE R MIGNANO (DPM)
NPI
1063933653
Phone
(570) 724-5297
Address
15 Meade St Ste U4
Enumeration Date
5 July 2017
Last Update Date
16 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
9537432687
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20250122003126
Address ID
IL618325657DA516XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

1,279 PODIATRY in PA

Provider Addresses for STEPHANIE R MIGNANO (DPM)

  • 15 Meade St Ste U4

    Wellsboro, PA 169011813

    Phone: (570) 724-5297

    Type: Location

  • 611 W PARK

    FAPC

    URBANA, IL 61802

    Phone: (217) 902-6954

    Fax: (217) 902-7711

    Type: Location

  • Meade Street, Wellsboro, Tioga County, Pennsylvania, 16901, United States

    WELLSBORO, PA 169011813

    Phone: (570) 724-5297

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2023-11-15 • Largest payer in this snapshot: LifeNet Health ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
LifeNet Health$33
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: 2025-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250122003126IPodiatryILTBD

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
11721Removal of fingernails or toenails, 6 or more nails5021$0
View full utilization report →

Insurance plans in this area (ZIP 16901)

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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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

What is the standard ID for STEPHANIE R MIGNANO (DPM) in the U.S.?
In the U.S., STEPHANIE R MIGNANO (DPM) is identified by NPI 1063933653.
Should I treat STEPHANIE R MIGNANO (DPM) as an active provider?
Patients and plans typically see STEPHANIE R MIGNANO (DPM) as active in the national extract.
What does the directory say STEPHANIE R MIGNANO (DPM) does?
Insurance directories may phrase it differently, but here STEPHANIE R MIGNANO (DPM) maps to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is STEPHANIE R MIGNANO (DPM) tied to Wellsboro, Pennsylvania?
If you are local to Wellsboro, Pennsylvania, STEPHANIE R MIGNANO (DPM) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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