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Shane Michael Mikolajewski, PA-C

Physician Assistant in Davis Monthan Afb, AZ · enumerated 2021 · practices at 355th Medgrp-Davis-Monthan.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962170399

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Registry record

Entity type Individual (Type 1)
Name Shane Michael Mikolajewski
Credential PA-C
Sex Male
Practice address 4175 S Alamo Ave, Davis Monthan Afb, AZ, 85707
Enumeration date Aug 31, 2021
Last updated in NPPES Nov 12, 2024

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Shane Mikolajewski practice?
The practice location on file with NPPES is in Davis Monthan Afb, AZ. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Shane Mikolajewski?
The National Provider Identifier (NPI) for Shane Mikolajewski is 1962170399, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-12.