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ATESSA MIKANIK
NPI 1841825965
Physician Assistant in San Diego, CA

Active since March 09, 2020PECOS EnrolledAccepts Medicare Assignment
13059 LAMIA PT, SAN DIEGO, CA 92130(858) 366-5000 Get Directions Write a Review

NPPES record last updated: May 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2022, Jan 4, 2022, Dec 27, 2021 and 2 more (5 updates tracked since 2020).

About Atessa Mikanik NPPES

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

ATESSA MIKANIK (NPI 1841825965) is an individual physician assistant in San Diego, California, licensed in California (58087) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1841825965
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameATESSA MIKANIK
Location Address13059 LAMIA PTSan Diego, CA 92130-6928
Mailing Address13059 Lamia PtSan Diego, CA 92130-6928
Phone(858) 366-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 9, 2020
Last NPPES UpdateMay 21, 20225 updates tracked since enumeration
NPPES CertifiedMay 21, 2022
✔ NPI 1841825965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 58087
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.
13059 LAMIA PT, San Diego, CA 92130
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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

Atessa Mikanik 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 ID1850719170
PECOS Enrollment IDI20200917001566
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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

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

DR. SADAF MIKANIK PHARM.D.
Pharmacist
13059 LAMIA PT
SAN DIEGO, CA 92130
San Diego County (619) 243-6527

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 Atessa Mikanik's NPI number?

The NPI number for Atessa Mikanik is 1841825965. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Where is Atessa Mikanik located?

Atessa Mikanik practices at 13059 Lamia Pt, San Diego, CA 92130. The listed phone number is (858) 366-5000.

What is Atessa Mikanik's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Atessa Mikanik enrolled in Medicare?

Yes. Atessa Mikanik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Atessa Mikanik was last updated on May 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.