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MITCHELL KIRK BOGLE P.A.
NPI 1063465318
Physician Assistant - Medical in Show Low, AZ

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
2951 N CLARK RD, SHOW LOW, AZ 85901(928) 537-2550(928) 832-7228 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mitchell Kirk Bogle P.a. NPPES

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

MITCHELL KIRK BOGLE P.A. (NPI 1063465318) is an individual medical provider in Show Low, Arizona, licensed in Arizona (3411) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1063465318
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMITCHELL KIRK BOGLECredential: P.A.
Location Address2951 N CLARK RDShow Low, AZ 85901-3848
Mailing Address1150 N Country Club Dr Ste 6Mesa, AZ 85201-2537 · (480) 962-1050 · Fax (480) 962-1058
Phone(928) 537-2550
Fax(928) 832-7228
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 18, 2006
Last NPPES UpdateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
✔ NPI 1063465318 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 AZ · 3411
2951 N CLARK RD, Show Low, AZ 85901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..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

Mitchell Kirk Bogle P.a. 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 ID7416910633
PECOS Enrollment IDI20060522000035
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.

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 Mitchell Bogle's NPI number?

The NPI number for Mitchell Bogle is 1063465318. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Mitchell Bogle located?

Mitchell Bogle practices at 2951 N Clark Rd, Show Low, AZ 85901. The listed phone number is (928) 537-2550.

What is Mitchell Bogle's specialty?

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

Is Mitchell Bogle enrolled in Medicare?

Yes. Mitchell Bogle 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 Mitchell Bogle accept?

Health plans from Imperial Insurance Companies, Inc. list Mitchell Bogle 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.

When was this NPI record last updated?

The NPPES record for Mitchell Bogle was last updated on March 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.