KRISTINA MIKELL AGNP-C
NPI 1154040111
Nurse Practitioner - Gerontology in Orange, CA
About Kristina Mikell Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA MIKELL AGNP-C (NPI 1154040111) is an individual gerontology provider in Orange, California, licensed in California (9502017) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Lake Wales, and maintains a secondary practice location in Ontario.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristina Mikell Agnp-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.
Medicare Billing Reassignments
2Medicare enrollment records show Kristina Mikell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92131
- Reassigned Medicare billing, California enrollment
- 38 clinicians in this Medicare group
Miami, FL 33137
- Reassigned Medicare billing, Florida enrollment
- 108 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Lake Wales
Acute Care Hospitals · Lake Wales, FLAdventhealth Heart Of Florida
Acute Care Hospitals · Davenport, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ORANGE, CA 92868
ORANGE, CA 92868
ORANGE, CA 92868
ORANGE, CA 92868
ORANGE, CA 92868
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 Kristina Mikell's NPI number?
The NPI number for Kristina Mikell is 1154040111. It was assigned to this individual provider in the NPPES registry on August 24, 2022.
Where is Kristina Mikell located?
Kristina Mikell practices at 1100 W Town And Country Rd Ste 1300, Orange, CA 92868. The listed phone number is (855) 434-7767.
What is Kristina Mikell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Kristina Mikell enrolled in Medicare?
Yes. Kristina Mikell 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.
Which organizations bill Medicare for Kristina Mikell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Mikell reassigns Medicare benefits to 2 organizations: Seasons Medical Group Of California Incorporated (San Diego, CA) and Seasons Medical Group Of Florida PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Mikell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kristina Mikell affiliated with any hospitals?
According to CMS data, Kristina Mikell is affiliated with Adventhealth Lake Wales and Adventhealth Heart Of Florida.
When was this NPI record last updated?
The NPPES record for Kristina Mikell was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kristina Mikell, AGNP-C · NPI 1154040111
Gerontology physician in Orange, California. Individual provider, active in the CMS NPPES registry since August 24, 2022.
## Identity
- **NPI:** 1154040111 (Entity type: Individual)
- **Enumerated:** August 24, 2022
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 9502017 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 W TOWN AND COUNTRY RD STE 1300, Orange, CA 92868-4654
- **Phone:** (855) 434-7767
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Seasons Medical Group Of California Incorporated (NPI 1790239473, San Diego, CA); Seasons Medical Group Of Florida PA (NPI 1710238381, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1154040111) · Data from the CMS NPPES public registry.