Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Mizgala, DNP, FNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1164968434

Jonathan Mizgala, DNP, FNP-BC is a Nurse Practitioner in Ilion, New York. Qualified in 2023, 3 years ago. Practices with Nv Pacs 2 LLC, a 121-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2017
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

55 Central Plz Ste B
Ilion, NY 13357-1753
Phone: (315) 444-1900
Fax: (315) 363-2549
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 342409 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 405393 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence F342409 (NY)

Record details

NPI number1164968434
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , FNP-BC
Sole proprietorYes
NPI enumeratedJanuary 11, 2017
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Nv Pacs 2 Llc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

Other providers in Ilion