Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB PAUL MIZELL LMCSW
NPI 1790393510
Social Worker - Clinical in Kingman, KS

Active since July 17, 2020PECOS EnrolledAccepts Medicare Assignment
701 E D AVE, KINGMAN, KS 67068(620) 532-3895(620) 513-5098 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 16, 2026, Nov 14, 2024, Dec 14, 2022 and 1 more (4 updates tracked since 2020).

About Jacob Paul Mizell Lmcsw NPPES

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

JACOB PAUL MIZELL LMCSW (NPI 1790393510) is an individual clinical provider in Kingman, Kansas, licensed in Kansas (06627) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pratt, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1790393510
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACOB PAUL MIZELLCredential: LMCSW
Location Address701 E D AVEKingman, KS 67068-1563
Mailing Address1600 N Lorraine St Ste 202Hutchinson, KS 67501-5600 · (620) 663-7595 · Fax (620) 513-5098
Fax(620) 513-5098
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 17, 2020
Last NPPES UpdateOctober 16, 20264 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1790393510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KS · 06627
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
701 E D AVE, Kingman, KS 67068

Secondary Practice Location 1

Location 1602 E 2nd St Ste 202Pratt, KS 67124-2912 · Phone (620) 672-2332 · Fax (620) 513-5098

Other Identifiers 1

Medicaid30004706580001KS

Accepted Insurance

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

Jacob Paul Mizell Lmcsw 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 ID2466987847
PECOS Enrollment IDI20241121002798
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Mizell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1600 N LORRAINE ST, SUITE 202
Hutchinson, KS 67501
  • Reassigned Medicare billing, Kansas enrollment
  • 66 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67068 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
$0.00 typical visit price
range $53.00 – $161.67
Typical copayment $0.00 (range $13.25 – $40.41)
Most-billed visit code NA
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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 2

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

Social Worker (Clinical)
701 E D AVE
KINGMAN, KS 67068
Community/Behavioral Health
701 E D AVE
KINGMAN, KS 67068

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 Jacob Mizell's NPI number?

The NPI number for Jacob Mizell is 1790393510. It was assigned to this individual provider in the NPPES registry on July 17, 2020.

Where is Jacob Mizell located?

Jacob Mizell practices at 701 E D Ave, Kingman, KS 67068. The listed phone number is (620) 532-3895.

What is Jacob Mizell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jacob Mizell enrolled in Medicare?

Yes. Jacob Mizell 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 organization bills Medicare for Jacob Mizell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Mizell reassigns Medicare benefits to Horizons Mental Health Center, Inc. (Hutchinson, KS). The 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 Jacob Mizell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Mizell accept?

Health plans from Medica list Jacob Mizell 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 Jacob Mizell was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.