MR. MARCIN T MIKA (APRN, FPA, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1669734315
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
Provider Addresses for MR. MARCIN T MIKA (APRN, FPA, PMHNP-BC)
1441 W CENTRAL PARK AVE
DAVENPORT, IA 528041707
Phone: (563) 383-1900
Fax: (563) 884-4638
Type: Mailing
33 W HIGGINS RD STE 655
SOUTH BARRINGTON, IL 600109134
Phone: (224) 848-5253
Fax: (224) 848-5254
Type: Mailing
1024 W MAIN ST
SAINT CHARLES, IL 601741745
Phone: (630) 262-2640
Fax: (630) 262-2645
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $262.
Total Amount is formed as General ($262) + Research ($0) + Ownership ($0) = $262.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Tris Pharma Inc ($80).
Total Amount
$262
General + Research + Ownership
Payments
13
Total payment records
General Amount
$262
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
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: 2017-09-15
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 |
|---|---|---|---|---|
| I20170915000477 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 97 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 73 | 36 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 43 | 11 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 25 | 12 | $0 |
Insurance plans in this area (ZIP 52804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IL | |
| Mental Health Counselor | IL | |
| P S Y C H I A T R Y | IL | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Clinical Social Worker | IL | |
| Clinical Social Worker | IL |
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