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VIOLETTA MICKIEWICZ PA-C
NPI 1053427831
Physician Assistant - Surgical in Chicago, IL

Active since August 22, 2006PECOS Enrolled
4501 N WINCHESTER AVE, 3RD FLOOR, CHICAGO, IL 60640(773) 250-0500(773) 250-0497 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Violetta Mickiewicz Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIOLETTA MICKIEWICZ PA-C (NPI 1053427831) is an individual surgical provider in Chicago, Illinois and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053427831
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameVIOLETTA MICKIEWICZCredential: PA-C
Location Address4501 N WINCHESTER AVE, 3RD FLOORChicago, IL 60640-5265
Mailing Address4501 Winchester, 3rd FloorChicago, IL 60640 · (773) 250-0500 · Fax (773) 250-0497
Phone(773) 250-0500
Fax(773) 250-0497
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateOctober 4, 2007
✔ NPI 1053427831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
4501 N WINCHESTER AVE, Chicago, IL 60640
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Violetta Mickiewicz Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHICAGO INSTITUTE OF ORTHOPEDICS
Orthopaedic Surgery (Sports Medicine)
4501 N WINCHESTER AVE
CHICAGO, IL 60640
Cook County (773) 250-1000
DIANE M YATES PA C
Physician Assistant
4501 N WINCHESTER AVE, 3RD FL
CHICAGO, IL 60640
Cook County (773) 250-0500
GAIL L ROSSEAU MD
Neurological Surgery
4501 N WINCHESTER AVE, 2ND FL
CHICAGO, IL 60640
Cook County (773) 250-0500
SHARI M ZIMELMAN PT
Physical Therapist
4501 N WINCHESTER AVE, 3RD FL
CHICAGO, IL 60640
Cook County (773) 250-0500
THSC LLC
General Acute Care Hospital
4501 N WINCHESTER AVE
CHICAGO, IL 60640
Cook County (773) 250-0000
DANIEL J HURLEY MD
Physical Medicine & Rehabilitation
4501 N WINCHESTER AVE, 2ND FL
CHICAGO, IL 60640
Cook County (773) 250-0400
CHICAGO INSTITUTE OF NEUROSURGERY & NEURORESEARCH
Neurological Surgery
4501 N WINCHESTER AVE, 3RD FLOOR
CHICAGO, IL 60640
Cook County (773) 250-0500
MS. MARY L TAYLOR APN
Nurse Practitioner (Adult Health)
4501 N WINCHESTER AVE
CHICAGO, IL 60640
Cook County (773) 250-1078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Violetta Mickiewicz's NPI number?

The NPI number for Violetta Mickiewicz is 1053427831. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Violetta Mickiewicz located?

Violetta Mickiewicz practices at 4501 N Winchester Ave 3rd Floor, Chicago, IL 60640. The listed phone number is (773) 250-0500.

What is Violetta Mickiewicz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Violetta Mickiewicz enrolled in Medicare?

Yes. Violetta Mickiewicz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Violetta Mickiewicz was last updated on October 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.