Mrs Vanessa Kelly Mizak, FNP-C, AGCNS-BC in Corvallis, OR

Mrs Vanessa Kelly Mizak, FNP-C, AGCNS-BC is a medicare enrolled "Nurse Practitioner" in Corvallis, Oregon. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Good Samaritan Hospital Corvallis and her current practice location is 3600 Nw Samaritan Dr Ste 227, Corvallis, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 768-1261.

Mrs Vanessa Kelly Mizak is licensed to practice in Oregon (license number 201804760NP-PP) 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 1669860979.

Contact Information

	Mrs Vanessa Kelly Mizak, FNP-C, AGCNS-BC
	3600 Nw Samaritan Dr Ste 227, Corvallis, OR 97330-3737
	(541) 768-1261
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Vanessa Kelly Mizak
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	3600 Nw Samaritan Dr Ste 227, Corvallis, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Vanessa Kelly Mizak graduated from nursing school in 2014

NPI Data:

NPI Number: 1669860979
Provider Enumeration Date: 01/08/2015
Last Update Date: 09/13/2021

Medicare PECOS Information:

PECOS PAC ID: 2668775263
Enrollment ID: I20180911002783

Medical Identifiers

Medical identifiers for Mrs Vanessa Kelly Mizak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669860979	NPI	-	NPPES
85780073	Medicaid	CO
P01618686	Other	CO	MCR RAILROAD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0993810 (Colorado)	Secondary
364S00000X	Clinical Nurse Specialist	201804762CNS (Oregon)	Secondary
364S00000X	Clinical Nurse Specialist	APN.0991563-CNS (Colorado)	Secondary
363L00000X	Nurse Practitioner	201804760NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Good Samaritan Regional Medical Center	Corvallis, OR	Hospital
Samaritan Pacific Community Hospital	Newport, OR	Hospital
Samaritan Lebanon Community Hospital	Lebanon, OR	Hospital
Samaritan Albany General Hospital	Albany, OR	Hospital
Samaritan North Lincoln Hospital	Lincoln city, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Good Samaritan Hospital Corvallis	1557270725	333

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. Mrs Vanessa Kelly Mizak allows following entities to bill medicare on her behalf.

Entity Name	Good Samaritan Hospital Corvallis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163

Entity Name	Corvallis Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649227265 PECOS PAC ID: 1456244540 Enrollment ID: O20040203000916

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. Mrs Vanessa Kelly Mizak 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 Address	Practice Location Address
Mrs Vanessa Kelly Mizak, FNP-C, AGCNS-BC Po Box 1189, Corvallis, OR 97339-1189 Ph: () -	Mrs Vanessa Kelly Mizak, FNP-C, AGCNS-BC 3600 Nw Samaritan Dr Ste 227, Corvallis, OR 97330-3737 Ph: (541) 768-1261

Reviews and Comments

Nurse Practitioner Nurses in Corvallis, OR

Ms. Kim Schlessinger, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-6687 Fax: 541-768-5424
Kourtney L Hanks, CNM/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150
Ms. Maria R. Clark-harmon, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330 Phone: 541-768-5140
Ms. Sherry Ruth Goeden Vi, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 Se Viewmont Ave, Corvallis, OR 97333 Phone: 541-766-3546 Fax: 541-766-6143
Christy M Rummel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1760 Sw 3rd St, Corvallis, OR 97333 Phone: 541-207-3773 Fax: 800-549-1017
Ms. Christine Dawn Gallagher, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3640 Nw Samaritan Dr Ste 100, Corvallis, OR 97330 Phone: 541-768-5205
Ruth S Palma, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150

Mrs Vanessa Kelly Mizak, FNP-C, AGCNS-BC - Medicare Nurse Practitioner in Corvallis, OR