DIANA MARIE MIKULENCAK-PICHA NP-C
NPI 1790283596
Nurse Practitioner in Gonzales, TX

Q: What is Diana Mikulencak-picha's NPI number?

The NPI number for Diana Mikulencak-picha is 1790283596. It was assigned to this individual provider in the NPPES registry on January 26, 2018.

Q: What is Diana Mikulencak-picha's specialty?

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

Active since January 26, 2018PECOS EnrolledAccepts Medicare Assignment

1110 N SARAH DEWITT DR, GONZALES, TX 78629(830) 672-8502 Get Directions Write a Review

NPPES record last updated: January 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Diana Marie Mikulencak-picha Np-c NPPES

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

DIANA MARIE MIKULENCAK-PICHA NP-C (NPI 1790283596) is an individual nurse practitioner in Gonzales, Texas, licensed in Texas (AP136271) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Guadalupe Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790283596

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDIANA MARIE MIKULENCAK-PICHACredential: NP-C

Location Address1110 N SARAH DEWITT DRGonzales, TX 78629-3311

Mailing Address1430 N Avenue BShiner, TX 77984-6220 · (361) 401-1344

Phone(830) 672-8502

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 26, 2018

✔ NPI 1790283596 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 TX · AP136271

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 ListedRegistered NurseTaxonomy 163W00000X · License 830443 (TX)

1110 N SARAH DEWITT DR, Gonzales, TX 78629

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Diana Marie Mikulencak-picha Np-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 ID8527320654

PECOS Enrollment IDI20180329000622

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 3

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

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number450104

Location1215 E Court StSeguin, TX 78155 · Guadalupe County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Gonzales, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450235

Location1110 North Sarah Dewitt DriveGonzales, TX 78629 · Gonzales County

Birthing friendly

Yoakum Community Hospital

Critical Access Hospitals · Yoakum, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451346

Location1200 Carl Ramert DriveYoakum, TX 77995 · Lavaca County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78629 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 20

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

GONZALES HEALTHCARE SYSTEMS

Clinic/Center (Rural Health)