Kathleen Marie Mishak, NP - Medicare Nurse Practitioner in Locust, NC

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Kathleen Marie Mishak, NP is a medicare enrolled "Nurse Practitioner" in Locust, North Carolina. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Novant Medical Group Inc and her current practice location is 236 Market St Ste 110, Locust, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 384-9590.

Kathleen Marie Mishak is licensed to practice in North Carolina (license number 232039) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942787841.

Contact Information

Kathleen Marie Mishak, NP
236 Market St Ste 110,
Locust, NC 28097-9439
(704) 384-9590
Not Available

Map and Direction




Provider's Profile

Full NameKathleen Marie Mishak
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location236 Market St Ste 110, Locust, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathleen Marie Mishak graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1942787841
  • Provider Enumeration Date: 07/24/2018
  • Last Update Date: 04/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800140815
  • Enrollment ID: I20181109002206

Medical Identifiers

Medical identifiers for Kathleen Marie Mishak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942787841NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 232039 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Mint Hill Medical CenterCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Medical Group Inc11532348932023

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathleen Marie Mishak allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679528384
PECOS PAC ID: 1153234893
Enrollment ID: O20060828000304

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Marie Mishak is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathleen Marie Mishak, NP
Po Box 60447,
Charlotte, NC 28260-0447

Ph: () -		Kathleen Marie Mishak, NP
236 Market St Ste 110,
Locust, NC 28097-9439

Ph: (704) 384-9590

Reviews and Comments


Nurse Practitioner Nurses in Locust, NC

Michael D Hinson, FNP-BC
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Practice Location: 316 Wendover Dr, Locust, NC 28097
Phone: 704-791-2097    
Keyeriashon Dugazon Tucker, F.N.P.
Nurse Practitioner
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Practice Location: 236 Market St Ste 110, Locust, NC 28097
Phone: 704-384-9590    
Kristina Marie Wilson, FNP
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Practice Location: 123 Professional Park Dr, Locust, NC 28097
Phone: 704-403-6760    
Brianna Phares Parrott, NP
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Medicare: Medicare Enrolled
Practice Location: 130 James Ave, Locust, NC 28097
Phone: 704-271-3777    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.