ANDREA AGNES MIKLOSI PA-C
NPI 1104489616
Physician Assistant - Surgical in Franklin, WI

Q: What is Andrea Miklosi's NPI number?

The NPI number for Andrea Miklosi is 1104489616. It was assigned to this individual provider in the NPPES registry on April 19, 2019.

Q: What is Andrea Miklosi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Miklosi was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since April 19, 2019PECOS Enrolled

10500 W LOOMIS RD STE 130, FRANKLIN, WI 53132(414) 488-1111 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 26, 2019, Apr 19, 2019 (2 updates tracked since 2019).

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About Andrea Agnes Miklosi Pa-c NPPES

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

ANDREA AGNES MIKLOSI PA-C (NPI 1104489616) is an individual surgical provider in Franklin, Wisconsin, licensed in Wisconsin (4873) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104489616

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameANDREA AGNES MIKLOSICredential: PA-C

Location Address10500 W LOOMIS RD STE 130Franklin, WI 53132-8030

Mailing Address10500 W Loomis Rd Ste 130Franklin, WI 53132-8030 · (906) 221-5533

Phone(414) 488-1111

Sole ProprietorYes

Enumeration DateApril 19, 2019

Last NPPES UpdateJanuary 31, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2025

✔ NPI 1104489616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in WI · 4873

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10500 W LOOMIS RD STE 130, Franklin, WI 53132

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Agnes Miklosi 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 8

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

NEUROSURGERY AND ENDOVASCULAR ASSOCIATES SC.

Clinic/Center (Magnetic Resonance Imaging (MRI))