MIKAYLA MARY LUISE PA-C
NPI 1922675883
Physician Assistant - Surgical in Tampa, FL

Active since June 09, 2021PECOS EnrolledAccepts Medicare Assignment
2 TAMPA GENERAL CIR, TAMPA, FL 33606(813) 821-8038 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 23, 2026, Dec 1, 2022, Sep 29, 2021 and 1 more (4 updates tracked since 2021).

About Mikayla Mary Luise Pa-c NPPES

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

MIKAYLA MARY LUISE PA-C (NPI 1922675883) is an individual surgical provider in Tampa, Florida, licensed in Florida (PA9121079) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922675883
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMIKAYLA MARY LUISECredential: PA-C
Location Address2 TAMPA GENERAL CIRTampa, FL 33606-3571
Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 821-8038
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 9, 2021
Last NPPES UpdateMarch 23, 20264 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
NPI 1922675883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9121079
2 TAMPA GENERAL CIR, Tampa, FL 33606

Secondary Practice Location 1

Location 1114 Woodland StHartford, CT 06105-1208 · Phone (860) 714-4000

Other Identifiers 2

Other1185XFL · Bcbs
Medicaid130110100FL

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

Mikayla Mary Luise Pa-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 ID5395145999
PECOS Enrollment IDI20210618002178, I20260209001724
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.

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.

Pediatrics
2 TAMPA GENERAL CIR, 5TH FLOOR
TAMPA, FL 33606
Pediatrics (Neonatal-Perinatal Medicine)
2 TAMPA GENERAL CIR
TAMPA, FL 33606
Surgery (Surgical Critical Care)
2 TAMPA GENERAL CIR
TAMPA, FL 33606
Internal Medicine (Infectious Disease)
2 TAMPA GENERAL CIR
TAMPA, FL 33606
Physician Assistant
2 TAMPA GENERAL CIR
TAMPA, FL 33606
Surgery (Vascular Surgery)
2 TAMPA GENERAL CIR
TAMPA, FL 33606
Pediatrics
2 TAMPA GENERAL CIR, MDC 15
TAMPA, FL 33606
Surgery (Vascular Surgery)
2 TAMPA GENERAL CIR, USF VASCULAR SURGERY STE.300
TAMPA, FL 33606

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 Mikayla Luise's NPI number?

The NPI number for Mikayla Luise is 1922675883. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Mikayla Luise located?

Mikayla Luise practices at 2 Tampa General Cir, Tampa, FL 33606. The listed phone number is (813) 821-8038.

What is Mikayla Luise's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mikayla Luise enrolled in Medicare?

Yes. Mikayla Luise 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 Mikayla Luise was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.