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

Mrs. Vanessa Kelly Mizak, FNP-C, AGCNS-BC

Individual provider Family Nurse Practitioner · NPI 1669860979

Mrs. Vanessa Kelly Mizak, FNP-C, AGCNS-BC is a Nurse Practitioner in Corvallis, Oregon. Qualified in 2014, 12 years ago. Practices with Good Samaritan Hospital Corvallis, a 375-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Oregon.

Years since qualifying
12
Licensed in
CO, OR
In the registry since
2015
Specialties on file
4
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3600 NW Samaritan Dr Ste 227
Corvallis, OR 97330-3737
Phone: (541) 768-1261
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 3680 Nw Samaritan Dr, Corvallis, OR 97330 — (541) 754-1150
  • 3640 Nw Samaritan Dr Ste 110, Corvallis, OR 97330-3787 — (541) 768-1261

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 201804760NP-PP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0993810 (CO)
Clinical Nurse Specialist Taxonomy 364S00000X · Licence 201804762CNS (OR)
Clinical Nurse Specialist Taxonomy 364S00000X · Licence APN.0991563-CNS (CO)

Record details

NPI number1669860979
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C , AGCNS-BC
Sole proprietorNo
NPI enumeratedJanuary 8, 2015
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Good Samaritan Hospital Corvallis — 375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Corvallis