MS. SANDRA LYNN MIKULICH APN
NPI 1528216082
Nurse Practitioner in Hazel Crest, IL

Q: What is Sandra Mikulich's NPI number?

The NPI number for Sandra Mikulich is 1528216082. It was assigned to this individual provider in the NPPES registry on September 8, 2008.

Q: What is Sandra Mikulich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Mikulich was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 September 08, 2008PECOS EnrolledAccepts Medicare Assignment

17850 KEDZIE AVE STE 3250, HAZEL CREST, IL 60429(708) 799-8700(708) 957-1830 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2025, Feb 28, 2025, Jan 13, 2023 (3 updates tracked since 2023).

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About Ms. Sandra Lynn Mikulich Apn NPPES

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

MS. SANDRA LYNN MIKULICH APN (NPI 1528216082) is an individual nurse practitioner in Hazel Crest, Illinois, licensed in Illinois (209007221) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains a secondary practice location in Hazel Crest.

NPPES Registry Identity

NPI1528216082

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. SANDRA LYNN MIKULICHCredential: APN

Location Address17850 KEDZIE AVE STE 3250Hazel Crest, IL 60429-2082

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(708) 799-8700

Fax(708) 957-1830

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateSeptember 8, 2008

Last NPPES UpdateMarch 6, 20253 updates tracked since enumeration

NPPES CertifiedMarch 6, 2025

✔ NPI 1528216082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209007221

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209007221 (IL)

17850 KEDZIE AVE STE 3250, Hazel Crest, IL 60429

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Secondary Practice Location 1

Location 117800 South Kedzie AvenueHazel Crest, IL 60429 · Phone (708) 213-3976 · Fax (708) 213-0213

Other Identifiers 3

Other3160176976IL · Blue Cross

OtherCM7411IL · Railroad Medicare

OtherP00694835IL · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, 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

Ms. Sandra Lynn Mikulich Apn 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 ID8123183902

PECOS Enrollment IDI20090211000051

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

102 services53 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

21 services18 patients

Hospital Affiliations CMS Care Compare

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140048

Location2320 E 93rd StChicago, IL 60617 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60429 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

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 12

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

SYED HAIDER M IMAM

Internal Medicine (Cardiovascular Disease)