Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Kaitlyn Marie Mikalic, MMS, MPH, PA-C

Individual provider Physician Assistant · NPI 1265279012

Kaitlyn Marie Mikalic, MMS, MPH, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2024, 2 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
Specialties on file
2
What do these letters mean?
MPH — Master of Public Health
A graduate degree in population health.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3400 Spruce St
Philadelphia, PA 19104-4238
Phone: (215) 662-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence OA006909 (PA)
Physician Assistant Taxonomy 363A00000X · Licence MA065722 (PA)

Record details

NPI number1265279012
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , MPH , PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2024
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at University of Penn-Medical Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3401 clinicians in the practice; 12 are shown here.

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