MS. SANDRA LYNN MIKULICH (APN) – Nurse Practitioner, NPI 1528216082
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MS. SANDRA LYNN MIKULICH (APN)
17800 South Kedzie Avenue
Hazel Crest, IL 60429
Phone: (708) 213-3976
Fax: (708) 213-0213
Type: Location
17800, Kedzie Avenue, Hazel Crest, Bremen Township, Cook County, Illinois, 60429, United States
HEART FAILURE CLINIC
HAZEL CREST, IL 604292029
Phone: (708) 213-3976
Fax: (708) 213-0213
Type: Mailing
Kedzie Avenue, Hazel Crest, Bremen Township, Cook County, Illinois, 60428, United States
HAZEL CREST, IL 60429
Phone: (708) 213-3976
Fax: (708) 213-0213
Type: Location
17850 KEDZIE AVE STE 3250
HAZEL CREST, IL 604292082
Phone: (708) 799-8700
Fax: (708) 957-1830
Type: Location
29373 NETWORK PL
CHICAGO, IL 606731293
Phone: (847) 390-5900
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $522.
Total Amount is formed as General ($522) + Research ($0) + Ownership ($0) = $522.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Abbott Laboratories ($384).
Total Amount
$522
General + Research + Ownership
Payments
19
Total payment records
General Amount
$522
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090211000051 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 58 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 21 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 60429)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | IL | |
| A N E S T H E S I O L O G Y | IL | |
| - | MN | |
| - | IL | |
| - | IL | |
| Rheumatology, Internal Medicine | IL | |
| - | IL | |
| Internal Medicine | IL | |
| P S Y C H I A T R Y | IL | |
| - | IL |
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