Elizabeth Mikus, DNP, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Dumfries, VA

NPI 1699323386 · NPPES record last updated Apr 14, 2026

Key facts

NPI
1699323386
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
0024186893 (VA)
Practice address
3700 Fettler Park Dr
Dumfries, VA 22025-2050
Phone
(703) 441-7500
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3205 N Academy Blvd
Suite 130
Colorado Spirngs, CO 80917-5147

3205 N Academy Blvd
Suite 130
Colorado Springs, CO 80917-5152

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260604001120 CO Practitioner - Nurse Practitioner 3274967666 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024186893VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024186893 VA Yes

Addresses

Primary practice location

3700 Fettler Park Dr
Dumfries, VA 22025-2050

Mailing address

3700 Fettler Park Dr
Dumfries, VA 22025-2050
Phone (703) 441-7500

Other providers in Dumfries, VA

All providers in Dumfries, VA · Family Nurse Practitioner in Virginia

Sources for this page

Verify at the official NPI Registry.