EVAN MIKULICH PA-C
NPI 1275258428
Physician Assistant in Portsmouth, NH

Q: What is Evan Mikulich's NPI number?

The NPI number for Evan Mikulich is 1275258428. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Q: What is Evan Mikulich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Evan Mikulich was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 10, 2022PECOS EnrolledAccepts Medicare Assignment

333 BORTHWICK AVE, PORTSMOUTH, NH 03801(603) 436-5110 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Evan Mikulich Pa-c NPPES

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

EVAN MIKULICH PA-C (NPI 1275258428) is an individual physician assistant in Portsmouth, New Hampshire and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Portsmouth Regional Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1275258428

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameEVAN MIKULICHCredential: PA-C

Location Address333 BORTHWICK AVEPortsmouth, NH 03801-7128

Mailing Address333 Borthwick AvePortsmouth, NH 03801-7128

Phone(603) 436-5110

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 10, 2022

NPPES CertifiedOctober 10, 2022

✔ NPI 1275258428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

333 BORTHWICK AVE, Portsmouth, NH 03801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Evan Mikulich Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496126310

PECOS Enrollment IDI20230131003090

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

58 services38 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH

3/5 CMS rating

OwnershipProprietary

CMS Certification Number300029

Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.14 typical visit price

range $57.75 – $174.26

Typical copayment $22.28 (range $14.43 – $43.56)

Most-billed visit code 99203

Established Patient

$71.85 typical visit price

range $18.70 – $142.15

Typical copayment $17.96 (range $4.67 – $35.53)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. JOHN PAUL GENS JR. MD

Surgery

333 BORTHWICK AVE, SUITE 305
PORTSMOUTH, NH 03801

Rockingham County (603) 433-6994

YOO NA CHUN MD

Student in an Organized Health Care Education/Training Program