MIKAELA DOMICO
NPI 1639961642
Physician Assistant in Geneva, IL

Q: What is Mikaela Domico's NPI number?

The NPI number for Mikaela Domico is 1639961642. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Q: What is Mikaela Domico'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 Mikaela Domico was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 May 19, 2025PECOS EnrolledAccepts Medicare Assignment

2535 SODERQUIST CT, GENEVA, IL 60134(630) 584-1400 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Mikaela Domico NPPES

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

MIKAELA DOMICO (NPI 1639961642) is an individual physician assistant in Geneva, Illinois and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Delnor Community Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639961642

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMIKAELA DOMICO

Location Address2535 SODERQUIST CTGeneva, IL 60134-0020

Mailing Address2535 Soderquist CtGeneva, IL 60134-0020 · (630) 584-1400

Phone(630) 584-1400

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 19, 2025

NPPES CertifiedMay 18, 2025

✔ NPI 1639961642 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.

2535 SODERQUIST CT, Geneva, IL 60134

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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 and accepts Medicare assignment

Mikaela Domico 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 ID6103322276

PECOS Enrollment IDI20250929003449

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.

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140211

Location300 Randall RdGeneva, IL 60134 · Kane County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60134 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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 11

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

RAHEEMUDDIN NAZEER M.D.

Internal Medicine (Rheumatology)