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MYKAELA POE
NPI 1861357147
Physician Assistant in Larkspur, CA

Active since December 18, 2025PECOS Enrolled
5 BON AIR RD STE 117, LARKSPUR, CA 94939(415) 448-1500 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2026, Dec 18, 2025 (2 updates tracked since 2025).

About Mykaela Poe NPPES

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

MYKAELA POE (NPI 1861357147) is an individual physician assistant in Larkspur, California, licensed in California (67832) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861357147
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMYKAELA POE
Location Address5 BON AIR RD STE 117Larkspur, CA 94939-1138
Mailing Address1319 Washington Ave, Po Box 41San Leandro, CA 94577
Phone(415) 448-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 18, 2025
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1861357147 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 · 67832
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.
5 BON AIR RD STE 117, Larkspur, CA 94939
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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 (PECOS)

Mykaela Poe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214491166
PECOS Enrollment IDI20260710003519
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 94939 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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 4

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

DR. DYLAN L BELLAVANCE DO
Family Medicine
5 BON AIR RD STE 117
LARKSPUR, CA 94939
Marin County (415) 448-1500
DR. ALARIC K AKASHI MD
Internal Medicine
5 BON AIR RD STE 117
LARKSPUR, CA 94939
Marin County (415) 448-1500
OANA L. KLEIN MD
Internal Medicine
5 BON AIR RD STE 117
LARKSPUR, CA 94939
Marin County (415) 448-1500
MARIN COMMUNITY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
5 BON AIR RD STE 117
LARKSPUR, CA 94939
Marin County (415) 448-1500

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 Mykaela Poe's NPI number?

The NPI number for Mykaela Poe is 1861357147. It was assigned to this individual provider in the NPPES registry on December 18, 2025.

Where is Mykaela Poe located?

Mykaela Poe practices at 5 Bon Air Rd Ste 117, Larkspur, CA 94939. The listed phone number is (415) 448-1500.

What is Mykaela Poe's specialty?

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

Is Mykaela Poe enrolled in Medicare?

Yes. Mykaela Poe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mykaela Poe was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.