Mikayla Van Dervoort, PA-C
NPI 1649014614 · Physician Assistant · Saugus, MA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mikayla Van Dervoort, PA-C is a Physician Assistant provider in Saugus, MA (NPI 1649014614).
Provider details
- NPI number
- 1649014614
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
1 yr in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
33 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 19 | $144 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 14 | $104 |
Typical Medicare-allowed amounts for these services range $104–$144 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-06-24
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Frequently asked questions
- What is Mikayla Van Dervoort's NPI number?
- Mikayla Van Dervoort's National Provider Identifier (NPI) is 1649014614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mikayla Van Dervoort's specialty?
- Mikayla Van Dervoort is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mikayla Van Dervoort located?
- Mikayla Van Dervoort's practice location on file with NPPES is 180 Main St, Saugus, MA 01906-3213.
- What is Mikayla Van Dervoort's phone number?
- The practice phone number listed in the NPPES registry for Mikayla Van Dervoort is (339) 674-0978.
- Does Mikayla Van Dervoort accept Medicare?
- Mikayla Van Dervoort is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mikayla Van Dervoort's NPI active?
- Yes — Mikayla Van Dervoort's NPI (1649014614) is active in the NPPES registry as of the last update on 2024-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.