IndividualActive
Mikaela Altis, PA-C
NPI 1366053241 · Medical Physician Assistant · Fort Leavenworth, KS
Provider details
- NPI number
- 1366053241
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
550 Pope Ave
Fort Leavenworth, KS 66027-2332
Phone: (913) 684-6258
Street-level locationGet directions
Mailing address
550 Pope Ave
Fort Leavenworth, KS 66027-2332
Additional practice locations (2)
- 315 W Gary BlvdClinton, OK 73601-2835Phone: (580) 547-0900
- 3600 N Garfield StMidland, TX 79705-6329Phone: (806) 743-3220
Registry dates
- Enumerated
- 2020-08-13
- Last updated
- 2024-10-18
- Certified
- 2024-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.