Nancy L. Vitello Mikiska, MS, PAC
Spokane, WA 99204
Providence Spokane Cardiology
62 West 7th Avenue, Suite 232, Spokane, WA 99204
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- Pacific Source
- Humana Commercial
- Regence MedAdvantage
- Providence Health Plan - Medicare Advantage
- Aetna PPO
- United HealthCare PPO
- Regence BlueShield of Washington
- Regence PPO
- Lifewise Health Plan of WA
- United Healthcare Commercial PPO
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- Aetna Medicare Advantage HMO
- Cigna Commercial
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- Molina HMO Exchange
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- Providence Medicare Advantage
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- TriWest
- Regence Commercial
- Anthem Blue Cross HMO
- Cigna HMO
- BlueCross BlueShield MT PPO
- Aetna Medicare Advantage
- Moda - Connexus
- United Healthcare
- Multiplan PPO
- Molina Marketplace
- Choice/Humana PPO
- Regence Blue Cross Blue Shield PPO
- Mountain Health Co-op
- Anthem Blue Cross PPO
- Blue Shield of CA HMO
- BCBS NM Centennial Care
- Allegiance
- Humana Medicare Advantage
- Blue Shield of CA Medicare Advantage
- United HealthCare Medicaid (WA Apple Health)
- UHC West - Signature Value HMO
- WellCare
- Humana PPO
- Cigna HMO - Select
- Aetna Commercial
- Health Net - Federal
- Medicare Advantage PPO
- Moda - OHP
- Medicare
- Health Net PPO
- United Healthcare Medicare Advantage
- Ambetter by Coordinated Care
- Health Net - Federal Services (Champus)
- Cigna PPO
- TriCare
- Anthem Blue Cross Medicare Advantage
- Pacific Source MedAdvantage
- United Healthcare Medicare Advantage HMO
- Washington Apple Health
- BCBS TX PPO Exchange
- Molina
- BCBS TX PAR
- Premera Heritage
- Cigna - Great West
- First Choice Health Network
- Medicaid
- Optum
- Aetna HMO
- UnitedHealthcare - AARP HMO
- Blue Shield of CA PPO
- UHC West - Signature Options PPO
- BCBS TX HMO (Blue Essentials) ERS / HealthSelect
- Community Health Plan of Washington - Medicare Advantage
- Multicare Connected Care
- BlueCross BlueShield MT Medicare Advantage
- TRICARE HealthNet Federal Services
- Anthem Blue Cross Medicare PPO
- BCBS TX HMO (Blue Essentials)
- Tricare West (HealthNet)
- Premera Medicare Advantage HMO
- Group Health Cooperative
- BCBS TX POS / PPO
- United Healthcare PPO158408
- Choice /Humana PPO
- Providence Health Plan
- Kaiser Foundation
- InterWest Health
- Health Net - TriCare
- Coordinated care (WA Apple Health)
- Amerigroup Medicaid (WA Apple Health)
- Amerigroup - Medicare Advantage
- First Choice PPO
- Premera PPO
- Molina (WA Apple Health)
- Asuris Northwest Health
- Community Health Plan of Washington (WA Apple Health)
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About Nancy L. Vitello Mikiska
Nancy is a Certified Physician’s Assistant who joined Providence Spokane Cardiology in 2000. She received her Bachelors of Science in Biology/Clinical Nutrition in 1990 and completed the Physician Assistant program at Duke University in 1994. Nancy is also a registered Dietitian and is certified by the National Commission on Certification of Physician Assistants
Duke University - Durham NC
1994
- Washington Association of Physician Assistants
- National Association of Physician Assistants
- Commission on Dietetic Registration
- International Board of Health Rhythm Examiners
- National Commission on Certification of Physician Assistants, Physician Assistant
Sacred Heart Medical Center & Children's Hospital
Providence Holy Family Hospital
Distance running and music.
Community Reviews
At Providence, we're dedicated to providing you quality, personalized health care. We are constantly striving to optimize your experience.
As part of ensuring you have a positive experience with Providence, our online provider directory includes ratings and patient comments for select providers. More about our survey.
Excellent group of people
Providence Patient
I was impressed with her knowledge and her willingness to answer my many questions.
Providence Patient
The procedure I need was not sugar coated, very happy with that
Providence Patient
All experiences were positive
Providence Patient
Nancy was professional and dialed into my heath care.
Providence Patient
Very good visit.
Providence Patient
Nothing but the best. Much appreciated.Thank you.
Providence Patient
It was a two fold appointment with Echo cardiogram followed by a routine check up. All phases of the experience were excellent with very good care and demeanor of the staff.
Providence Patient
My experiences were good with Nancy L Vitello Mikala , a very nice lady !!
Providence Patient
Very professional
Providence Patient
Excellent provider
Providence Patient
Great experience thank you
Providence Patient
Very pleased with the care I get.
Providence Patient
Friendly, competent,knowledgeable personnel.
Providence Patient
It was a great appointment. Everything was on time and I had a fruitful time of learning about my condition.
Providence Patient
Overall everyone I interacted with was spectacular.
Providence Patient
The best
Providence Patient
My surgery date was getting close and I appreciate how quickly you got me an appointment with the doctor and a necessary test so my surgery could go on as scheduled.
Providence Patient
Nancy did an exemplary job of explaining and listening. She obviously had read/researched my particular medical situation - very impressive.
Providence Patient
Good experience
Providence Patient
Great
Providence Patient
I had important decisions to decide on at this appointment and this doctor was so informative and that helped me make my informed decisions in a very positive manner which made me feel better.
Providence Patient
I have received excellent care from all of my Providence caregivers.
Providence Patient
She listened to what I have to say and check my records and did some tests and made corrections that were needed, which is why I went in for the appointment. She was the best medical person I have ever had.
Providence Patient
Dr Nancy Vitello is very professional, showed great care, and provided highly competent information and direction to me regarding my healthcare. Her follow-up care was tremendous and expedient. I recommend Dr Vitello/Mikiska to all those seeking excellent cardiovascular care. The nurses and office staff are also amazing and they too provided great care and strong communication.
Providence Patient
I felt Nancy L. Vitello Mikiska was very professionalyet compassionate. She listened intently and gave helpful medical advice. I appreciated that she knew my history, and that she had a plan for improving it.
Providence Patient
I appreciate the care and attention they give to questions I may have, and how they answer in a way That's easy to understand.
Providence Patient
She is an outstanding provider and I feel very fortunate to be able to see her. I feel I'm in excellent hands.
Providence Patient
Very good
Providence Patient
Very thorough and did not end the consultation until all my questions were answered.
Providence Patient
Excellent thoughtful explanation of my pacemaker and programming it to meet my needs.
Providence Patient
I was very pleased
Providence Patient
Nancy was very busy, squeezed me in for an emergency visit and because of that I was able to get the emergency care I needed in a timely manner.
Providence Patient
This provider is a cardiac specialist and I wish she was my primary care doctor. Best Doctor I have had - she has made a significant and beneficial impact in my life.
Providence Patient
All went very well.
Providence Patient
I am very satisfied with the knowledge and insights given by the provider
Providence Patient
All good
Providence Patient
A professional and pleasant experience.
Providence Patient
We feel so fortunate to have the best cardiac care in the state of Washington! Thank you!
Providence Patient
Everyone was very respectful and wonderful to work with.
Providence Patient
Long time provider for my heart care Pace maker very good care
Providence Patient
It was all good
Providence Patient
All employees at Spokane Cardiology are professional, friendly, and knowledgeable! I appreciate their continued care.
Providence Patient
Very Caring and Courteous
Providence Patient
Everyone was wonderful
Providence Patient
It's all good
Providence Patient
It was all excellent
Providence Patient
The two times I have visited it's always been a very pleasant and helpful visit
Providence Patient
The visit was very good
Providence Patient
Nancy was an amazing provider to talk with. She put me at ease during an appointment I had alot of anixtey she took the time to discuss the best options going forward with my condition. She Is going into my top 5 best providers at providence
Providence Patient
An excellent visit. Thank you!
Providence Patient
This was follow-up appointment for a previous surgery. It went well.
Providence Patient
I had a pleasant experience. Everyone was very polite and informative.
Providence Patient
Friendly and thorough exam.
Providence Patient
She was very sweet, friendly, and knowledgeable.
Providence Patient
I had a great experience.
Providence Patient
Very good~~.
Providence Patient
I've received good care for 15 years.
Providence Patient
Nancy is always so helpful and nice
Providence Patient
She was terrific. Clear, friendly, porefessional, compassionate. As was the nurse who took all the vitals.
Providence Patient
Had a great experience all around.
Providence Patient
I have always had very positive experiences with everyone at Spokane Cardiology.
Providence Patient
Awesome customer service and support. Provider communicated plans and ideas to help me in a positive way.
Providence Patient
I found Nancy to be extremely insensitive and uncaring. I don't wish to ever see her again.
Providence Patient
Always have a good experience....thanks
Providence Patient
It was a good visit. I left feeling optimistic.
Providence Patient
Excellent & very thankful for the kind caring professionals
Providence Patient
Best doctors and services in the Spokane region
Providence Patient
The provider helped clear up duplicate scheduled visits to once a year instead of twice and also suggested a closer office to my home
Providence Patient
Simply the best medical care!
Providence Patient
Very happy with the care provided..
Providence Patient
I have always been pleased with my experiences at the Heart Institute
Providence Patient
Excellent first hand knowledge and concern presented by Nancy. Explanation of certain medical knowledge was extremely helpful with a long term difficult A-Fib disease
Providence Patient
Nancy Vitello was very knowledgeable and help me work through my medications and health care.
Providence Patient
The provider wanted to provide me with total and complete care, and ordered additional tests to that end.
Providence Patient
Physician Assistant Nancy Vitello Mikiska had a command of the facts related to my cardiac event; took the time to assess my current condition; and provided guidance on how I can best position myself to prevent another cardiac event. She was polite, focused & professional.
Providence Patient
It was very straight forward and good.
Providence Patient
Nancy is AWESOME!
Providence Patient
I feel my health is in good hands.h
Providence Patient
First visit with Nancy, very impressed with her
Providence Patient
Very efficient and helpful
Providence Patient
Vary pleased with the experience
Providence Patient
Everything was great
Providence Patient
Nancy was extremely professional and very knowledgeable regarding treatment for my high blood pressure. She was also easy to talk to.
Providence Patient
We really like this provider she is very good.
Providence Patient
Every single person I came I contact with smiled and was kind. The doctor was knowledgeable and I didn't feel rushed. I felt I had the time to ask questions.
Providence Patient
Spokane Cardiology is great.
Providence Patient
Everything was fine
Providence Patient
Alway have received the best care from my providers and amazing staff.
Providence Patient
This was a cardiology first visit after many years, so my records were badly in need of updating. Staff very efficiently got the records up to date. Provider, Nancy, was professional and quickly assessed my situation. We have a short term plan. My issue with this visit was in the surgical waiting area. They send lab draws in there too. We signed in and waited an hour for a blood draw, which I found ridiculously long.Thank you.
Providence Patient
Efficient and professional
Providence Patient
Very personable. Listened, clarified, and asked. I appreciated them all.
Providence Patient
Dr. Vitello was wonderful! She had all my medical history, explained current conditions, suggested treatment, and made me feel at ease. I hope to see her again for any follow up!
Providence Patient
It was a great visit and all questions were answered.
Providence Patient
Care - good, wait - long
Providence Patient
All good.
Providence Patient
Very efficient.
Providence Patient
Did not have to wait in the waiting room. The provider was prompt, kind, and very helpful.
Providence Patient
I thought she took the time to listen and explain things to me so I fully understood. I would definitely ask to see her again If I need future appts.
Providence Patient
No bad experiences.
Providence Patient
Things were explained well to me and everything happened in a timely fashion
Providence Patient
I've always had good experiences with this particular provider.
Providence Patient
Top-notch, stress-free, very professional visit.
Providence Patient
Very good service
Providence Patient
This physician was more attentive and concerned with my health than the specialist I have had for the last 6 or 7 years.
Providence Patient
Good
Providence Patient
Excellent care by the whole team!!
Providence Patient
Care was provided meeting my expectations.
Providence Patient
Care was quick and professional. Things were explaned to me and plans were made for future care .
Providence Patient
She was one of the best Dr. To listen to you to understand you. And to take action.we are now waiting to be scheduled for surgery
Providence Patient
Every person that I interacted with during my visit were very nice and courteous
Providence Patient
Not a new patient for this provider but first visit with this team member. Seems to be at the same excellent level as other members of the team at this office.
Providence Patient
Very informative and concerned with my heart health. Started me back on meds I should have always been on after my bypass surgery
Providence Patient
Very respectful and friendly easy to understand covering all my medications and medical needs.
Providence Patient
She is very knowledgeable, and always gives me sound advise concerning my heart condition, and what most important to take in the maintenance of the status of my heart and Pacemaker's workings.
Providence Patient
No bad experiences
Providence Patient
Always the best most professional care available.
Providence Patient
I thought my visit with Nancy Vitelli Mikiska was excellent. She answered all my questions about my condition and did a great job explaining the details of my EKG test results. She was a very good listener and provided clear and understandable answers to my questions.
Providence Patient
Great care and insight
Providence Patient
Very thorough and thoughtful visitlots of new information was communicated with kindness and respect
Providence Patient
Prompt and friendly service
Providence Patient
Excellent as usual. They saved my life and continue to care.
Providence Patient
Everyone was friendly and knowledgeable.
Providence Patient
Dr Vitelli was very thorough and explained so I could understand.
Providence Patient
Everything went great
Providence Patient
My provider is excellent.
Providence Patient
The connection between my pace maker and iPad was clearly explained. My questions were all answered.
Providence Patient
Wonderful care
Providence Patient
Always willing to listen, explain findings and present treatment options.
Providence Patient
The doctor listened. She was caring and kind. She was extremely helpful
Providence Patient
Great service
Providence Patient
The doctor/specialist who I met with was short with her speech, rudely toned, and did not seem to believe me or listen to me about previous experiences I had/symptoms. I was referred to them by my obgyn because of unusual heart rate/fluctuations during pregnancy and birth. Her explanation of those unusual symptoms did not make sense with what I had experienced and left out any explanation of why I had them during my pregnancy/before labor started. Was a very bad experience. I definitely did not feel heard or respected.
Providence Patient
Outstanding medical care was provided
Providence Patient
Everyone I interacted with in this office was friendly, kind and professional. I felt confident the provider cared about me and was invested in my health.
Providence Patient
Had a very good experience with Nancy Vitello Mikiska , PA-C. She answered all my questions and took the time to be with me.
Providence Patient
She is terrific. It just takes a long time to get an appointment.
Providence Patient
After moving to the Spokane area, I have struggled to find a cardiologist whom I felt understood and knew what my issues were. I believe I have been lead to the best group of doctors in the area. I am comfortable knowing my heart health is in their best interest and have already shared this with others.
Providence Patient
It was all good
Providence Patient
PA Nancy Citello Mikaska was friendly, thorough and reassuring.
Providence Patient
My experience was far and above a few I have gone to lately. The medical assistant and PA were friendly, confident, actually listened to concerns or questions I had. I left knowing more about possible heart issues than I expected and have another test scheduled. In retirement, I seem to go to a lot of dr appointments. This appointment experience sets the bar very high for future appointments. Wonderful experience.
Providence Patient
Nancy is always very professional and personable. She takes the time to listen and I always feel like she truly cares about me and my health.
Providence Patient
I enjoy my care team while dealing with my Afib diagnosis and what to do to correct my heart beat to a regular rhythm.
Providence Patient
Nancy is a blessing, very kind and knowledgeable.
Providence Patient
Excellent care with this office - always
Providence Patient
Very pleased with my medical team, all very courteous and friendly, yet professional as well.
Providence Patient
They care.
Providence Patient
Clinical Interests
- Abnormal Calcium Score
- Abnormal Coronary Angiography
- Abnormal Electrocardiogram (Ekg)
- Abnormal Stress Test
- Adenosine Stress Test
- Aortic Diseases
- Arrhythmia
- Arrhythmias (Heart) Therapy
- Arteriosclerosis
- Atherosclerosis
- Atrial Fibrillation
- Atrial Flutter
- Atrial Tachycardia
- Atrioventricular Block
- Av Nodal Arrhythmia
- Bradycardia
- Cardiac Angina
- Cardiac Arrest
- Cardiac Conduction Defects
- Cardiac Risk Assessment
- Cardiomegaly
- Cardiomyopathy
- Chest Pain
- Cholesterol Disorders
- Cholesterol Management
- Conduction Defects
- Congestive Heart Failure (Chf)
- Coronary Artery Disease
- Diastolic Dysfunction
- Dyspnea On Exertion
- Echocardiogram
- Edema
- Electrocardiogram (Ekg)
- Elevated Creatine Kinase
- Exercise Induced Syncope
- Exercise Intolerance
- Familial Dilated Cardiomyopathy
- Familial Hypertrophic Cardiomyopathy
- Family History Of Heart Disease
- Heart Disease
- Heart Disease In Women
- Heart Health
- Heart Murmur
- Heart Problems
- Heart Racing
- Holter Monitor
- Hypertension
- Hypertrophic Cardiomyopathy
- In Office Cardiac Echocardiogram
- In Office Cardiac Stress Test
- Inappropriate Sinus Tachycardia
- Ischemic Cardiomyopathy
- Left Bundle Branch Block
- Left Heart Failure
- Left Ventricular Dysfunction
- Mitral Regurgitation
- Mitral Valve Insufficiency
- Mitral Valve Regurgitation
- Myocardial Infarction (Mi)
- Orthopnea
- Orthostatic Hypotension
- Palpitations
- Paroxysmal Supraventricular Tachycardia
- Paroxysmal Tachycardia
- Paroxysmal Ventricular Tachycardia
- Pericardial Effusion
- Pericarditis
- Peripheral Edema
- Postural Tachycardia Syndrome
- Pre Excitation Syndrome
- Premature Atrial Contraction
- Premature Beats
- Premature Ventricular Contractions
- Preoperative Evaluation
- Preventative Cardiology
- Pulmonary Artery Stenosis
- Pulmonary Edema
- Rhythm Disorder
- Right Bundle Branch Block
- Right Heart Failure
- Right Ventricular Hypertrophy
- Secondary Hypertension
- Stress Echo Cardiogram
- Supraventricular Tachycardia
- Syncope
- Tachycardia
- Tachycardia Bradycardia Syndrome
- Transthoracic Echocardiogram
- Tricuspid Regurgitation
- Tricuspid Valve Disease
- Uncontrolled Hypertension
- Vasovagal Syncope
- Ventricular Arrhythmia
- Ventricular Fibrillation
- Ventricular Tachycardia
- Virtual Care
- Wolff Parkinson White Syndrome
Nancy, did a very good job of explaining what was taking place in my care. A very caring person, I felt at ease with her.
Providence Patient