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

Mikaela Domico

Individual provider Physician Assistant · NPI 1639961642

Mikaela Domico is a Physician Assistant in Geneva, Illinois. Qualified in 2025, 1 year ago. Practices with Fox Valley Orthopaedic Associates PLLC, a 73-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025

Practice location Address checks out

2535 Soderquist Ct
Geneva, IL 60134-0020
Phone: (630) 584-1400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1639961642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2025
Last updated in NPPESMay 19, 2025
Certification dateMay 18, 2025
Mailing address2535 Soderquist Ct, Geneva, IL 60134-0020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Fox Valley Orthopaedic Associates Pllc — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Geneva