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SANDRA JEAN MICCI PA-C
NPI 1942223334
Physician Assistant in Chicago, IL

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
1901 W HARRISON ST, JOHN H STROGER HOSPITAL/ CORE CENTER, CHICAGO, IL 60612(312) 572-4570(312) 572-4559 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandra Jean Micci Pa-c NPPES

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

SANDRA JEAN MICCI PA-C (NPI 1942223334) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085-000483) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1942223334
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSANDRA JEAN MICCICredential: PA-C
Location Address1901 W HARRISON ST, JOHN H STROGER HOSPITAL/ CORE CENTERChicago, IL 60612-3714
Mailing Address101 Helm RdBarrington, IL 60010-7645 · (847) 551-3518 · Fax (312) 572-4559
Phone(312) 572-4570
Fax(312) 572-4559
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 26, 2006
Last NPPES UpdateApril 27, 2021
NPPES CertifiedApril 27, 2021
✔ NPI 1942223334 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 IL · 085-000483
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.
1901 W HARRISON ST, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Sandra Jean Micci 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 ID3173520491
PECOS Enrollment IDI20061031000011
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

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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.

JOHANNA WEFES-POTTER
Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (847) 843-2000
ARON BERHANU GUDETTA MD
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. LIGAYA VILLAFRANCA MARASIGAN M.D.
Obstetrics & Gynecology (Gynecology)
1901 W HARRISON ST
CHICAG, IL 60612
Cook County (312) 864-5901
TIN TIN THOMAS M.D.
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6000
COOK COUNTY
Pharmacy (Clinic Pharmacy)
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6189
HELEN ELIZABETH STRAUS MD
Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-0060
MR. GLEN DERRICK TRAMMELL PA-C
Physician Assistant
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (773) 869-7488
JOHN H STROGER, JR. HOSPITAL OF COOK COUNTY
General Acute Care Hospital
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (773) 319-2085

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 Sandra Micci's NPI number?

The NPI number for Sandra Micci is 1942223334. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Sandra Micci located?

Sandra Micci practices at 1901 W Harrison St John H Stroger Hospital/ Core Center, Chicago, IL 60612. The listed phone number is (312) 572-4570.

What is Sandra Micci's specialty?

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

Is Sandra Micci enrolled in Medicare?

Yes. Sandra Micci 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.

What insurance does Sandra Micci accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sandra Micci 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.

Is Sandra Micci affiliated with any hospitals?

According to CMS data, Sandra Micci is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Sandra Micci was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.