ELIZABETH MARIE MIKULICH F.N.P.
NPI 1740533736
Nurse Practitioner - Family in Ann Arbor, MI
About Elizabeth Marie Mikulich F.n.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH MARIE MIKULICH F.N.P. (NPI 1740533736) is an individual family provider in Ann Arbor, Michigan, licensed in Michigan (4702611268) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Northville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Marie Mikulich F.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Mikulich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Michigan enrollment
- 666 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elizabeth Mikulich's NPI number?
The NPI number for Elizabeth Mikulich is 1740533736. It was assigned to this individual provider in the NPPES registry on October 16, 2012.
Where is Elizabeth Mikulich located?
Elizabeth Mikulich practices at 209 S State St, Ann Arbor, MI 48104. The listed phone number is (866) 389-2727.
What is Elizabeth Mikulich's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Elizabeth Mikulich enrolled in Medicare?
Yes. Elizabeth Mikulich is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elizabeth Mikulich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Mikulich reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Mikulich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Mikulich accept?
Health plans from CareSource and CareSource (Common Ground Healthcare) list Elizabeth Mikulich 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.
When was this NPI record last updated?
The NPPES record for Elizabeth Mikulich was last updated on January 23, 2023. 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.
# Elizabeth Marie Mikulich, F.N.P. · NPI 1740533736
Family physician in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since October 16, 2012.
## Identity
- **NPI:** 1740533736 (Entity type: Individual)
- **Enumerated:** October 16, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4702611268 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 209 S STATE ST, Ann Arbor, MI 48104-2005
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2023
- **Other identifiers:** Other 0872418 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1740533736) · Data from the CMS NPPES public registry.