Andrea Agnes Miklosi, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

4873 Issued in WI

Practice address

10500 W Loomis Rd Ste 130
Franklin, WI 53132-8030

Phone

(414) 488-1111

NPI assigned

Apr 19, 2019

Last updated

Jan 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neurosurgery and Endovascular Associates SC.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Franklin, WI
  • NPI 1063495000
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1104489616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 W LOOMIS RD STE 130",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328030",
            "telephone_number": "906-221-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 W LOOMIS RD STE 130",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328030",
            "telephone_number": "414-488-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLOSI",
        "first_name": "ANDREA",
        "middle_name": "AGNES",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "4873",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L. Lamers, D.D.S, L.L.C.
• Midwest Orthopedic Ortholazer LLC
• Midwest Orthopedic Specialty Hospital, LLC
• Midwest Orthopedic Specialty Hospital, LLC
• Midwest Orthopedic Specialty Hospital, LLC
• Douglas Milosavljevic, M.D.
• Milwaukee Clinic of Ortho Surgery, LTD.
• Milwaukee Eye Care Associates S.C.
• Milwaukee Sports Therapy
• Milwaukee Surgical Specialists SC

• Surgical Physician Assistant in Franklin, WI
• Providers in Franklin, WI by specialty
• Surgical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.