KATHERINE MICIAK
NPI 1649892274
Nurse Practitioner - Family in Middletown, CT

Active since May 18, 2020PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1 AIRCRAFT RD, MIDDLETOWN, CT 06457(860) 344-5172 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 18, 2022, Jun 4, 2020, May 31, 2020 and 1 more (4 updates tracked since 2020).

About Katherine Miciak NPPES

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

KATHERINE MICIAK (NPI 1649892274) is an individual family provider in Middletown, Connecticut, licensed in Connecticut (8870) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1649892274
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE MICIAK
Location Address1 AIRCRAFT RDMiddletown, CT 06457-5723
Mailing Address1 Aircraft RdMiddletown, CT 06457-5723
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 18, 2020
Last NPPES UpdateOctober 18, 20224 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
NPI 1649892274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CT · 8870
1 AIRCRAFT RD, Middletown, CT 06457

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

Katherine Miciak 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 ID5496170128
PECOS Enrollment IDI20200729000648
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 2024 & 2026 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 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.
18 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649892274, enumerated as an "individual" on May 18, 2020.

The provider is located at 1 AIRCRAFT RD MIDDLETOWN, CT 06457 and the phone number is (860) 344-5172.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.