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MISS KEELY NICOLE MIXON PA
NPI 1710181714
Physician Assistant in Pensacola, FL

Active since June 13, 2007PECOS Enrolled
5151 N 9TH AVE, PENSACOLA, FL 32504(850) 416-7619(850) 416-7753 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2019, Jul 30, 2018, Jul 25, 2018 (3 updates tracked since 2018).

About Miss Keely Nicole Mixon Pa NPPES

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

MISS KEELY NICOLE MIXON PA (NPI 1710181714) is an individual physician assistant in Pensacola, Florida, licensed in Louisiana (PA.200255) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710181714
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS KEELY NICOLE MIXONCredential: PA
Location Address5151 N 9TH AVEPensacola, FL 32504-8721
Mailing AddressPo Box 2699Pensacola, FL 32513-2699 · (850) 416-7619
Phone(850) 416-7619
Fax(850) 416-7753
Sole ProprietorNo
Enumeration DateJune 13, 2007
Last NPPES UpdateDecember 16, 20193 updates tracked since enumeration
✔ NPI 1710181714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in LA · PA.200255✔ Licensed in AL · PA.1523✔ Licensed in FL · PA9110923
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.
5151 N 9TH AVE, Pensacola, FL 32504
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Other Identifiers 1

Medicaid1380709LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan.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)

Miss Keely Nicole Mixon Pa 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.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%274 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

MRS. VICTORIA LC MCCULLERS ARNP
Nurse Practitioner (Family)
5151 N 9TH AVE, STE 200
PENSACOLA, FL 32504
Escambia County (850) 416-4970
MRS. JEAN MARIE HOUY ARNP
Nurse Practitioner (Neonatal)
5151 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 416-4501
PRASHANTH SHANMUGHAM M.D.
Pediatrics (Pediatric Critical Care Medicine)
5151 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 416-4970
GARY D WRIGHT MD
Emergency Medicine
5151 N 9TH AVE, ER
PENSACOLA, FL 32504
Escambia County (850) 416-7000
CAROLINE HUNTER OLDWEILER DO
Student in an Organized Health Care Education/Training Program
5151 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 416-1186
DR. RICHARD SLEVINSKI MD
Emergency Medicine
5151 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 416-6670
SUMMER DUPREE WINTERS
Physician Assistant
5151 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 416-7000
JENNIFER T HARRELL
Occupational Therapist
5151 N 9TH AVE, SUITE 1405
PENSACOLA, FL 32504
Escambia County (850) 416-7340

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 Keely Mixon's NPI number?

The NPI number for Keely Mixon is 1710181714. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Keely Mixon located?

Keely Mixon practices at 5151 N 9th Ave, Pensacola, FL 32504. The listed phone number is (850) 416-7619.

What is Keely Mixon's specialty?

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

Is Keely Mixon enrolled in Medicare?

Yes. Keely Mixon is registered in the Medicare PECOS enrollment system.

What insurance does Keely Mixon accept?

Health plans from CHRISTUS Health Plan list Keely Mixon 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 Keely Mixon was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.