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

Individual provider Acute Care Nurse Practitioner · NPI 1114582590

Gregory David Mikut, ACNP is a Nurse Practitioner in Surprise, Arizona. Qualified in 2019, 7 years ago. Practices with National Cardiovascular Associates LLC, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2019
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021
Phone: (602) 641-9486
Fax: (480) 500-8430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN169267 (AZ)

Record details

NPI number1114582590
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESOctober 21, 2020
Certification dateOctober 21, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice National Cardiovascular Associates Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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