Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mikayla Mary Luise, PA-C

Individual provider Surgical Physician Assistant · NPI 1922675883

Mikayla Mary Luise, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 2021, 5 years ago. Practices with Trinity Health of New England Provider Network Organization Inc, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
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

2 Tampa General Cir
Tampa, FL 33606-3571
Phone: (813) 821-8038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 114 Woodland St, Hartford, CT 06105-1208 — (860) 714-4000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9121079 (FL)

Record details

NPI number1922675883
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 9, 2021
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Trinity Health Of New England Provider Network Organization Inc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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