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MELISSA MICKELSON
NPI 1629185673
Physician Assistant in Kalamazoo, MI

Active since August 24, 2006PECOS Enrolled
5973 BEATRICE DRIVE, KALAMAZOO, MI 49009(269) 286-7110(269) 286-7031 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2020, Aug 3, 2020 (2 updates tracked since 2020).

About Melissa Mickelson NPPES

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

MELISSA MICKELSON (NPI 1629185673) is an individual physician assistant in Kalamazoo, Michigan, licensed in Michigan (5601002479) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1629185673
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMELISSA MICKELSON
Location Address5973 BEATRICE DRIVEKalamazoo, MI 49009
Mailing Address5943 Stadium Dr, Suite 3Kalamazoo, MI 49009-3016
Phone(269) 286-7110
Fax(269) 286-7031
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
✔ NPI 1629185673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601002479
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5973 BEATRICE DRIVE, Kalamazoo, MI 49009
Open in Google Maps ↗

Secondary Practice Location 1

Location 14200 S Westnedge AveKalamazoo, MI 49008-3208 · Phone (269) 381-3500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Mickelson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

STEVEN M KONICKI DO
Family Medicine
5973 BEATRICE DRIVE
KALAMAZOO, MI 49009
Kalamazoo County (269) 286-7110
JOHN SPITZER
Pediatrics
5973 BEATRICE DRIVE
KALAMAZOO, MI 49009
Kalamazoo County (269) 286-7110
MRS. LINDSAY MARIE ALLEN PA-C
Physician Assistant
5973 BEATRICE DRIVE
KALAMAZOO, MI 49009
Kalamazoo County (269) 286-7110
JULIE M BOWSER PA-C
Physician Assistant
5973 BEATRICE DRIVE
KALAMAZOO, MI 49009
Kalamazoo County (269) 286-7110
KASEY FAY GOINS PA-C
Physician Assistant (Medical)
5973 BEATRICE DRIVE
KALAMAZOO, MI 49009
Kalamazoo County (269) 286-7110

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 Melissa Mickelson's NPI number?

The NPI number for Melissa Mickelson is 1629185673. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Melissa Mickelson located?

Melissa Mickelson practices at 5973 Beatrice Drive, Kalamazoo, MI 49009. The listed phone number is (269) 286-7110.

What is Melissa Mickelson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Melissa Mickelson enrolled in Medicare?

Yes. Melissa Mickelson is registered in the Medicare PECOS enrollment system.

What insurance does Melissa Mickelson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Melissa Mickelson 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 Melissa Mickelson was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.