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

Nikita Mishra

Individual provider Physician Assistant · NPI 1902623671

Nikita Mishra is a Physician Assistant in Glendale, Arizona. Qualified in 2024, 2 years ago. Practices as a sole proprietor.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

19555 N 59th Ave
Glendale, AZ 85308-6813
Phone: (623) 572-3200
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1902623671
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 24, 2024
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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