ANDREA AGNES MIKLOSI (PA-C) – Surgical Physician Assistant, NPI 1104489616
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANDREA AGNES MIKLOSI (PA-C)
9995 W NORTH AVE APT 256
WAUWATOSA, WI 532262512
Phone: (906) 221-5533
Type: Location
West Loomis Road, Franklin, Milwaukee County, Wisconsin, 53132, United States
FRANKLIN, WI 531328030
Phone: (906) 221-5533
Type: Mailing
10500 W LOOMIS RD STE 130
FRANKLIN, WI 531328030
Phone: (414) 488-1111
Type: Location
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 $409.
Total Amount is formed as General ($409) + Research ($0) + Ownership ($0) = $409.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: NuVasive, Inc. ($314).
Total Amount
$409
General + Research + Ownership
Payments
13
Total payment records
General Amount
$409
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| NuVasive, Inc. | $314 |
| Boston Scientific Corporation | $51 |
| Medtronic, Inc. | $27 |
| Spinal Simplicity, LLC | $17 |
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: 2019-12-31
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 |
|---|---|---|---|---|
| I20191231001064 | I | Physician Assistant | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI |
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