KELLY D MIKESELL PA-C
NPI 1023200888
Physician Assistant - Medical in West Jordan, UT

Active since August 15, 2007PECOS EnrolledAccepts Medicare Assignment
82.77/100
CMS Quality Rating
3570 W 9000 S STE 200, WEST JORDAN, UT 84088(801) 566-9211(801) 566-5667 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly D Mikesell Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY D MIKESELL PA-C (NPI 1023200888) is an individual medical provider in West Jordan, Utah, licensed in Utah (5244260-1206) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1023200888
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY D MIKESELLCredential: PA-C
Location Address3570 W 9000 S STE 200West Jordan, UT 84088-8875
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604 · (801) 354-8225 · Fax (801) 418-0941
Fax(801) 566-5667
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 15, 2007
Last NPPES UpdateFebruary 9, 2017
NPI 1023200888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in UT · 5244260-1206
3570 W 9000 S STE 200, West Jordan, UT 84088

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly D Mikesell Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638263262
PECOS Enrollment IDI20070913000374
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 36

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, ferric derisomaltose, 10 mg J1437
Ferric derisomaltose is an iron replacement product. It's given as an injection to treat iron deficiency anemia, a condition where the body lacks enough iron. The injection helps increase iron in your body to healthy levels.
2,700 services18 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
986 services22 patients
Injection, ondansetron hydrochloride, per 1 mg J2405
Ondansetron hydrochloride is a medication given via injection to help prevent nausea and vomiting, often due to chemotherapy or surgery. It works by blocking certain chemicals in the body that trigger these symptoms.
816 services16 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
775 services289 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
577 services265 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
536 services219 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Ogden Regional Medical Center

Acute Care Hospitals · Ogden, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460005
Location5475 South 500 EastOgden, UT 84405 · Weber County
Emergency services

Holy Cross Hospital-Davis

Acute Care Hospitals · Layton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460041
Location1600 West Antelope DriveLayton, UT 84041 · Davis County
Emergency services Birthing friendly

Intermountain Health Layton Hospital

Acute Care Hospitals · Layton, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460061
Location201 West Layton ParkwayLayton, UT 84041 · Davis County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3570 W 9000 S STE 200
WEST JORDAN, UT 84088
Family Medicine
3570 W 9000 S STE 200
WEST JORDAN, UT 84088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mikesell's NPI number?

The NPI number for Kelly Mikesell is 1023200888. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Where is Kelly Mikesell located?

Kelly Mikesell practices at 3570 W 9000 S Ste 200, West Jordan, UT 84088. The listed phone number is (801) 566-9211.

What is Kelly Mikesell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelly Mikesell enrolled in Medicare?

Yes. Kelly Mikesell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Mikesell accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Kelly Mikesell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Mikesell affiliated with any hospitals?

According to CMS data, Kelly Mikesell is affiliated with Mckay-Dee Hospital, Ogden Regional Medical Center, Holy Cross Hospital-Davis and Intermountain Health Layton Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Mikesell was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.