Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evan Mikulich, PA-C

Individual provider Physician Assistant · NPI 1275258428

Evan Mikulich, PA-C is a Physician Assistant in Portsmouth, New Hampshire. Qualified in 2022, 4 years ago. Practices with Appledore Medical Group Inc, a 198-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
4
Licensed in
NH
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone: (603) 436-5110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NH)

Record details

NPI number1275258428
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 10, 2022
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Appledore Medical Group Inc — 198 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Portsmouth