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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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



Providence Medical Group - Inland Northwest
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.
Dr Nancy Vitello was very personable and listen to my thoughts about what was happening to my husband, even though he didn't think he had a problem. She was vey kind and told him what he needed and to call her if there was a problem. Very good visit and helped my husband see if new prescribed Meds might change his faint problem( low blood pressure).
Providence Patient
Nancy was exceedingly helpful. I left with all my questions answered and with a clear plan.
Providence Patient
Always a good experiences
Providence Patient
Receive good care.
Providence Patient
Spokane Cardoology has been great to me. I also had a pacemaker check the same day and the technician was terrific.I was very satisfied with both appointments at the Heart Insfitute.
Providence Patient
The visit was very helpful and easy to jundrrstand
Providence Patient
The PA listened to me; however I felt she kind of discounted my concern. She explained things well.
Providence Patient
Providers are top notch would recommend to everyone that needs that type of care
Providence Patient
I have been very impressed with the providers at this practice. It is just extremely difficult to get in.
Providence Patient
Everything went well
Providence Patient
The Heart Institute has always been very helpful, courteous and professional.
Providence Patient
This provider did not seem to listen or care about what I had to say or thought. I felt blown off
Providence Patient
Very good
Providence Patient
She spent extra time making sure that I understood what was going on and next steps .
Providence Patient
Very through and friendly
Providence Patient
It was difficult getting an appointment sooner than 6 months,then it was changed to many more months out..I do understand,I trust all of you so much and am glad to be a patient of your team.tgank you
Providence Patient
Provider took as much Time as needed
Providence Patient
Great explanation and listening skills
Providence Patient
I left this appointment with a feeling calm and gratitude for my providers attention to my health needs. It made me feel very content and very much at ease.
Providence Patient
This is the first time I saw this provider. She was very thorough and attentive in the exam. She answered my questions and made me feel like I had valued input. She formulated a plan going forward that I thought made sense. I would definitely schedule an appointment with her again.
Providence Patient
Nancy takes the time to listen, give advice and provides a get well plan that is easy to understand.
Providence Patient
Good
Providence Patient
Very professional
Providence Patient
This was the first time that I have not seen and MD. Times are changing. As a medical provider Nancy was knowledgeable and relatable. I was surprised at a 3 month wait r an appointment. As my MD wife has said..."There are a lot of people sicker than you that need care sooner".
Providence Patient
As usual, my experience with this office was excellent. I have long ago given up on trying to call Spokane Cardiology phone. The wait is often endless. I use MyChart exclusively to communicate with the provider team.
Providence Patient
Everyone was great!
Providence Patient
This was a scheduled appointment for adjusting my pacemaker placed in October and follow up of diagnosis of congestive heart failure. I could not be happier with my experience with Nancy Vitelli. She was very knowledgeable, great listener, sympathetic, familiar with my situation and performed an appropriate exam. The results were reassuring. She also made a medication change that should be helpful in relieving an annoying side effect of the previous medication. Very professional while being supportive. The lady who did the adjustment of my pacemaker was super also. A great follow up experience.
Providence Patient
Knowledgeable and caring.
Providence Patient
I've seen Nancy for a few years. She is always pleasant and helpful. Nancy is easy to talk to so if I have questions she answers so that I understand. She is very reassuring.
Providence Patient
My only complaint is the amount of time it took to get an appointment. It took months to get an appointment.Once I was seen, I feel like I was listened to and cared for in a timely and respectful manner. My provider did a great job at explaining my particular issues.
Providence Patient
All interaction was good. I waited only a few minutes and went in to the room for the exam/appointment early. All my questions were answered and I felt good about the appointment over all. I received a call from the provider with results of a blood test and other instructions promptly. One of the reception people walked me back to the place where I was to meet my ride, as I was not sure of the route myself.
Providence Patient
Good appointment questions answered and truly felt I was listen to
Providence Patient
Helpful and friendly.
Providence Patient
I've always had a good experience at Providence Cardiology. I've always been well cared for and staff have answered my questions.
Providence Patient
I think the doctors and PA's at the Heart institute are the best. The only problem I have had Is when trying to make an appointment.
Providence Patient
It was a great experience.
Providence Patient
Very good
Providence Patient
She was great. Listened and understood my situation, and was an advocate for me.
Providence Patient
I was very pleased with my visit. She listen to my concerns and had ideas about a different type of treatment. I was able to get reapproved for the medicine and have a plan to test to see if it is working. She took the time to explain why and how the medicine is different than a statin.
Providence Patient
My provider was knowledgeable and attentive
Providence Patient
It was all fine
Providence Patient
Provider was attentive and clear with her interactions with me. I feel at ease in her presence and feel confident she has my best interests as her approach to my health. Fine human being.
Providence Patient
Thank you to the whole team
Providence Patient
Everything went as expected.
Providence Patient
My cardiologist has been most helpful during my recovery.
Providence Patient
Good experienceoffer the assess my BP records when I send Them in for further comment. Thanks.
Providence Patient
Great care and easy to discuss all options for treatment.
Providence Patient
My care providers are very thorough. Its important for me to be able to explain my health issues and that they explain in everyday language what I need to do in order to take better care of myself and deal with my health issues.
Providence Patient
The entire team did a great job.
Providence Patient
Friendly and respectful
Providence Patient
Got the usual good care and information needed.
Providence Patient
Completely happy with my doctors and there team
Providence Patient
I appreciated Nancy and will not hesitate to see her again.
Providence Patient
Good, as always!
Providence Patient
Nancy Vitello Mikiska, PA-C is an excellent care provider.
Providence Patient
I've never had a bad experience at providence in Spokane.
Providence Patient
It was obvious to me that she knows her business and was very concerned about my cardiac problems.
Providence Patient
Excellent experience.
Providence Patient
All fine
Providence Patient
The provider was friendly and concerned about my general health as well as matters concerning my cardiac health. She was great.
Providence Patient
Consistent excellent care
Providence Patient
Thanks for taking such great care of me
Providence Patient
She was amazing and cared
Providence Patient
Well informed and practical
Providence Patient
I feel I'm receiving excellent care through this office.
Providence Patient
Great, they were very thorough, and I left knowing the problem with solutions to try.
Providence Patient
She was very thorough and answered all my questions
Providence Patient
Nancy was thoughtful, kind, patient and very helpful providing me with a referral outside her specialty
Providence Patient
She was very helpful and knowledgeable
Providence Patient
Nancy was an attentive listener and explained things clearly, she spent time to make sure my needs were met and I didn't fell rushed .
Providence Patient
This is the first time I have seen a Cardio PA, rather than my regular Cardiologist. I felt that she was very through, and was concerned about my care.
Providence Patient
My visit with Nancy was one of the best encounters I have ever had with any care provider! I had never seen her before, but she was intimately familiar with my medical history and spot on with answers to all my questions. She is very impressive, and I told here I wanted to see no one but her for any subsequent visits! Nancy is a rare gem. If she worked for me I would give her a huge raise and a generous Christmas bonus. You don't want to ever lose her.
Providence Patient
My doctor was patient and answered all my questions in a friendly manner. When I called for an appointment in October I was told that they couldn't schedule me until March and were unable to give me a date. I would have to wait a week or two and they would get back to me. I begged to get put on a wait list and they did. Fortunately an appointment was canceled and they called me to see if I was available the following day and I took the appointment. Five months would have been a ridiculous amount of time to wait. Thank you for the opportunity to tell me experience to you.
Providence Patient
Good experience. Entire staff was very attentive and caring.
Providence Patient
I really appreciate this providers care and knowledge when I am in attendance at their office.
Providence Patient
Great service and a very helpful visit.
Providence Patient
Very courteous and professional.
Providence Patient
Knowledgeable, attentive and competent
Providence Patient
Very happy with everyone I interacted with. Friendly, courteous and efficient.
Providence Patient
Good care
Providence Patient
An excellent experience.
Providence Patient
Nancy was personable. Knowledgeable and professionable
Providence Patient
Very professional, answered all questions with kindness.
Providence Patient
Gave good advice.
Providence Patient
Very committed to her . Interesting to talk to about my health and helpful about addressing some of my weight problems and diet.
Providence Patient
Wonderful staff, patient and knowledgeable doctor
Providence Patient
All good
Providence Patient
All good!
Providence Patient
The whole experience was very good.
Providence Patient
Exceptional treatment was provided. Thank you.
Providence Patient
Most providers are thorough but appear to be pressed to get to the next patient.
Providence Patient
Excellent
Providence Patient
Listened to my concerns
Providence Patient
Specialist care is outstanding
Providence Patient
Dr. Nancy Vitallo is care-full and encouraging and thorough. I appreciate her skill
Providence Patient
This was my first appointment with Nancy following a cardiac ablation. I found her personable, attentive, and knowledgeable. I have had great experiences with all the providers and staff at the heart institute.
Providence Patient
At my appointment I was able to schedule next follow-up appointment that help's me plan for the visit.
Providence Patient
I like his team. They are concerned and professional all the time. Ian comfortable with all the staff.
Providence Patient
I love the personal care I receive from this document.
Providence Patient
Always a good experience. Thankyou.
Providence Patient
Good
Providence Patient
Nancy was very thorough. She had obviously reviewed my history and answered all my questions and addressed my concerns.
Providence Patient
She is friendly and easy to talk to.
Providence Patient
Nancy is very knowledgeable and efficient!
Providence Patient
All good
Providence Patient
Nancy saw us before the scheduled appointment as she knew we were out of town. She and her MA were very thoughtful to accommodate us even though we did not ask to be seen earlier.
Providence Patient
I'm very happy with the treatment I received and the efforts made to answer all my questions. I have always been very happy with my treatment at the heart institute in Spokane.
Providence Patient
Everyone was very helpful and pleasant. They offered help If they thought I might need It.
Providence Patient
Seem to really care about my condition.
Providence Patient
Informative, polite
Providence Patient
Great
Providence Patient
Good
Providence Patient
Very satisfied
Providence Patient
I'm very content with the care that I was given.
Providence Patient
The entire team was very friendly and warm. I felt so comfortable and even tho I was nervous, I knew I'd receive quality care. Lovely experience
Providence Patient
She was very knowledgeable, caring and making plans for my future visits to stay on top of my health!
Providence Patient
Overall it was an informative experience
Providence Patient
Excellently handled
Providence Patient
Thank you...excellent care
Providence Patient
As always I cant say enough good about his provider. Nancy is always very positive and makes sure you understand everything. She is very patient and thorough. The whole staff Is great. It Is a little difficult to get an appointment for my annual checkup so it lands close to a year apart. I know they are very busy but trying to schedule Is definitely one area that could be streamled a little better.
Providence Patient
Providence has always been top notched. Everyone helpful and friendly and give me the best care possible.
Providence Patient
It was a good experience she was concerned about what I said very polite and spent time with me not trying to shove you out the door in 30 seconds like most drs do now a days
Providence Patient
This place is a well oiled machine. GREAT care, and always knowledgeable. Your heart IS IMPORTANT, and so is the care
Providence Patient
A good visit!
Providence Patient
I have had excellent experiences with both my Doctor and my PAC!! Would highly recommend both of them!!
Providence Patient
Good session with Nancy V. I'm not typing an epistle on this stupid cell phone.
Providence Patient
All good
Providence Patient
Polite and knowledgeable.
Providence Patient
They did a very good job given the high volume of patients waiting to see their doctors. Staff worked well & efficiently with all.
Providence Patient
From making the appointment to check in and seeing the nurse and doctor was all a very pleasant and positive experience.
Providence Patient
The visit was due to a hospital stay. They made the visit quick and listened to all my concerns and issues.
Providence Patient
Great experience, was treated with respect, All my questions were answered, Even though the clinic was very busy I was not hurried and was given all the time I needed.
Providence Patient
All good experiences.
Providence Patient
She was very competent and concerned about my health and treatment. I couldn't be more pleased with the quality of her advice and treatment plan.
Providence Patient
She was one of the nicest and professional providers possible.
Providence Patient
Always nancy is very good at talking to me.
Providence Patient
I have had excellent care from all my Providence providers.
Providence Patient
She is a great doctor. My experience was beyond my expectations. She's very good at what she does. I was thankful she was able to help me.
Providence Patient
Not only did my provider address all my concerns related to this appointment, but she gave me extremely helpful advice about an unrelated problem I am having. I appreciated her willingness to help with that problem
Providence Patient
It was great
Providence Patient
Very professional and nice to meet.
Providence Patient
Good rapport with patients. Explains things well
Providence Patient
All good. Appointments are not readily available. Have to wait a while.
Providence Patient
Very positive for everyone involved. I was pleased.
Providence Patient
I really appreciated the time she took to talk to me and answer my questions
Providence Patient
I was impressed with her knowledge and her willingness to answer my many questions.
Providence Patient
Excellent group of people
Providence Patient
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
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
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
- Cardiometabolic Health
- Cardiomyopathy
- Cardiovascular Care
- 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 Arrhythmia
- 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)
- Non-Invasive Cardiology
- Orthopnea
- Orthostatic Hypotension
- Palpitations
- Paroxysmal Supraventricular Tachycardia
- Paroxysmal Tachycardia
- Paroxysmal Ventricular Tachycardia
- Pericardial Effusion
- Pericarditis
- Peripheral Edema
- Pre Excitation Syndrome
- Premature Atrial Contraction
- Premature Beats
- Premature Coronary Artery Disease
- 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
- Thallium Stress Test
- Transthoracic Echocardiogram
- Tricuspid Regurgitation
- Tricuspid Valve Disease
- Uncontrolled Hypertension
- Vasovagal Syncope
- Ventricular Arrhythmia
- Ventricular Fibrillation
- Ventricular Tachycardia
- Virtual Care
- Wolff Parkinson White Syndrome
I felt in skilled and practiced hands for my ablation procedure.
Providence Patient