Individual provider Active NPI

Nikolas Sean Mikus, AU.D.

  • Audiologist
  • Winchester, VA
National Provider Identifier
1811631195
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001877 Issued in VA
Practice address
142 Linden Dr Ste 106
Winchester, VA 22601-6901
Phone
(540) 722-7282
NPI assigned
Apr 23, 2022
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001877 VA Primary
Hearing Instrument Specialist 237700000X 2101002525 VA

Addresses

Primary practice location

142 Linden Dr Ste 106
Winchester, VA 22601-6901

Mailing address

142 Linden Dr Ste 106
Winchester, VA 22601-6901
Phone (540) 722-7282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241212000966 VA Practitioner - Qualified Audiologist 7113453275 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenandoah Head and Neck Specialists, PLCGroup PAC ID 7416908546, 4 clinicians

Practice addresses (Care Compare)

142 Linden Dr
Suite 106
Winchester, VA 22601-6901
Phone (540) 722-7282

920 N Shenandoah Ave
Suite 202
Front Royal, VA 22630-3568
Phone (540) 749-2349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2101002525VAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Sep 8, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Sep 8, 2025 Accepting new patients
Shenandoah Head and Neck Specialists, PLC CurrentSince Nov 11, 2024 Accepting new patients

Locations

920 N Shenandoah Ave
Ste 202
Front Royal, VA 22630
Phone (540) 535-0000

136 Linden Dr
Ste 104
Winchester, VA 22601

142 Linden Dr
Ste 106
Winchester, VA 22601
Phone (540) 722-5060

174 Botanical Blvd
Winchester, VA 22603
Phone (540) 536-5900

650 Cedar Creek Grade
Ste 100
Winchester, VA 22601
Phone (540) 535-0000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1811631195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 LINDEN DR STE 106",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016901",
            "telephone_number": "540-722-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 LINDEN DR STE 106",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016901",
            "telephone_number": "540-722-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKUS",
        "first_name": "NIKOLAS",
        "middle_name": "SEAN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-23",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001877",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101002525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.