DIANA MARIE MIKULENCAK-PICHA (NP-C) – Nurse Practitioner, NPI 1790283596

DIANA MARIE MIKULENCAK-PICHA (NP-C) is a healthcare provider. based in Shiner, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 830443 (TX). The NPI Number for DIANA MARIE MIKULENCAK-PICHA (NP-C) is 1790283596

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DIANA MARIE MIKULENCAK-PICHA (NP-C)
NPI
1790283596
Phone
(361) 401-1344
Address
1430 N AVENUE B
Enumeration Date
26 January 2018
Last Update Date
26 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8306727581
Graduation Year
2017 (9 years ago)
PAC ID
8527320654
Group Practice PAC ID
8527963776
Professional Enrollment ID
I20180329000622
Address ID
TX786293311GO1110XDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:8State licenses:2Digital endpointsOther names

22,440 NURSE PRACTITIONER in TX

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Provider Addresses for DIANA MARIE MIKULENCAK-PICHA (NP-C)

  • 1430, North Avenue B, Shiner, Lavaca County, Texas, 77984, United States

    SHINER, TX 779846220

    Phone: (361) 401-1344

    Type: Mailing

  • Gonzales Healthcare Systems, 1110, North Sarah Dewitt Drive, Gonzales, Gonzales County, Texas, 78629, United States

    GONZALES, TX 786293311

    Phone: (830) 672-8502

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $616.

Total Amount is formed as General ($616) + Research ($0) + Ownership ($0) = $616.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: ABBVIE INC. ($128).

Total Amount

$616

General + Research + Ownership

Payments

42

Total payment records

General Amount

$616

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2018-03-29

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180329000622INurse PractitionerTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77984)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527963776View full group profile
NameSpecialtyState
Family PracticeID
General SurgeryTX
Physician AssistantTX
Diagnostic RadiologyVA
Family PracticeTX
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
Orthopedic SurgeryTX
-TX

Reviews

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Frequently asked questions

What number should I use to identify DIANA MARIE MIKULENCAK-PICHA (NP-C) for billing?
Administrative and clinical systems typically use NPI 1790283596 for DIANA MARIE MIKULENCAK-PICHA (NP-C).
Does the public listing show DIANA MARIE MIKULENCAK-PICHA (NP-C) as active?
DIANA MARIE MIKULENCAK-PICHA (NP-C)'s NPI record reflects an active status in NPPES.
How should patients interpret DIANA MARIE MIKULENCAK-PICHA (NP-C)'s specialty?
The extract shows Nurse Practitioner for DIANA MARIE MIKULENCAK-PICHA (NP-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DIANA MARIE MIKULENCAK-PICHA (NP-C)?
DIANA MARIE MIKULENCAK-PICHA (NP-C) is associated with Shiner, Texas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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