NPIMap

Individual provider Active NPI

Domantas Mikonis

  • Psychiatry Physician
  • Wells, ME
National Provider Identifier
1891149944
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO3094 Issued in ME
Practice address
2178 Post Rd Ste 205
Wells, ME 04090-4794
Phone
(207) 216-1342
Fax
(800) 851-4724
NPI assigned
Apr 14, 2016
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO3094 ME Primary
Psychiatry Physician 2084P0800X 72934-21 WI

Addresses

Primary practice location

2178 Post Rd Ste 205
Wells, ME 04090-4794

Mailing address

2178 Post Rd Ste 205
Wells, ME 04090-4794
Phone (207) 216-1342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201016001195 WI Practitioner - Psychiatry 9436495066 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

122 Wilshire Blvd N
Stevens Point, WI 54481-1360
Phone (715) 341-7441

5409 Vern Holmes Dr
Stevens Point, WI 54482-8853
Phone (715) 344-1600

824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 344-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.15 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
76.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
72934-21WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Frontiers Psychiatric SC Psychiatry CurrentSince Jan 2, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Sep 2, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Sep 2, 2025 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Oct 6, 2020 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Oct 6, 2020 Accepting new patients
New Frontiers TMS LLC Psychiatry CurrentSince Nov 6, 2022 Accepting new patients
Blue Swan Psychiatry, PLLC Psychiatry CurrentSince Jan 4, 2026 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

2178 Post Rd
Ste 205
Wells, ME 04090
Phone (207) 216-1342

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

2675 N Mayfair Rd
Ste 400
Milwaukee, WI 53226
Phone (414) 350-2449

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000

122 Wilshire Blvd N
Stevens Point, WI 54481
Phone (715) 341-7441

5409 Vern Holmes Dr
Stevens Point, WI 54482
Phone (715) 342-1015

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

Interoperability endpoints

  • Direct secure messaging: dmikonis169570@direct.aspirus.org

Organizations & group practices 7

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1891149944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2178 POST RD STE 205",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040904794",
            "telephone_number": "207-216-1342",
            "fax_number": "800-851-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 POST RD STE 205",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040904794",
            "telephone_number": "207-216-1342",
            "fax_number": "800-851-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKONIS",
        "first_name": "DOMANTAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "DO3094",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "72934-21",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wells, ME

Sources for this page

Verify at the official NPI Registry.