1. Home
  2. Directory
  3. Pennsylvania
  4. Reading
  5. Physician Assistant
  6. NPI Profile

KELLY S. MICKULIK PA-C
NPI 1386643880
Physician Assistant in Reading, PA

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment
96.46/100
CMS Quality Rating
3317 PENN AVE, READING, PA 19609(610) 750-7891(610) 750-7894 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly S. Mickulik Pa-c NPPES

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

KELLY S. MICKULIK PA-C (NPI 1386643880) is an individual physician assistant in Reading, Pennsylvania, licensed in Pennsylvania (MA050888) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in Wyomissing.

NPPES Registry Identity

NPI1386643880
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY S. MICKULIKCredential: PA-C
Location Address3317 PENN AVEReading, PA 19609-1436
Mailing Address3317 Penn AveReading, PA 19609-1436 · (610) 750-7891 · Fax (610) 750-7894
Phone(610) 750-7891
Fax(610) 750-7894
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 18, 2005
Last NPPES UpdateAugust 29, 2018
✔ NPI 1386643880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA050888
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.
3317 PENN AVE, Reading, PA 19609
Open in Google Maps ↗

Secondary Practice Location 1

Location 12210 Ridgewood Rd, Ste 100Wyomissing, PA 19610-1167 · Phone (610) 372-0502 · Fax (610) 372-9554

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Kelly S. Mickulik 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 ID9931125531
PECOS Enrollment IDI20051024000058
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 6

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
129 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
124 services99 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
47 services41 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
37 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19609 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

KARA COLLEEN NOON CRNP
Nurse Practitioner (Adult Health)
3317 PENN AVE
WEST LAWN, PA 19609
Berks County (610) 750-7891
AMY LEE HENDRIX N.P.
Nurse Practitioner
3317 PENN AVE
READING, PA 19609
Berks County (610) 750-7891
HENRY HUANDONG YAN PA-C
Physician Assistant
3317 PENN AVE
WEST LAWN, PA 19609
Berks County (610) 750-7891
READING DERMATOLOGY ASSOCIATES PC
Dermatology
3317 PENN AVE
WEST LAWN, PA 19609
Berks County (610) 750-7891

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 Kelly Mickulik's NPI number?

The NPI number for Kelly Mickulik is 1386643880. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Kelly Mickulik located?

Kelly Mickulik practices at 3317 Penn Ave, Reading, PA 19609. The listed phone number is (610) 750-7891.

What is Kelly Mickulik's specialty?

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

Is Kelly Mickulik enrolled in Medicare?

Yes. Kelly Mickulik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Mickulik accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kelly Mickulik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Mickulik affiliated with any hospitals?

According to CMS data, Kelly Mickulik is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Mickulik was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.