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BRANDON SHAWN MICKELSON PA-C
NPI 1790544534
Physician Assistant in Draper, UT

Active since March 14, 2024PECOS EnrolledAccepts Medicare Assignment
11760 S 700 E STE 112, DRAPER, UT 84020(801) 882-9995(801) 882-9994 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon Shawn Mickelson Pa-c NPPES

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

BRANDON SHAWN MICKELSON PA-C (NPI 1790544534) is an individual physician assistant in Draper, Utah and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790544534
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRANDON SHAWN MICKELSONCredential: PA-C
Location Address11760 S 700 E STE 112Draper, UT 84020-6605
Mailing Address280 S Main StBountiful, UT 84010-6236 · (801) 505-0821
Phone(801) 882-9995
Fax(801) 882-9994
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 14, 2024
Last NPPES UpdateMay 9, 2024
NPPES CertifiedMay 9, 2024
✔ NPI 1790544534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
11760 S 700 E STE 112, Draper, UT 84020
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.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

Brandon Shawn Mickelson Pa-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.

PECOS PAC ID1456793314
PECOS Enrollment IDI20240523000425
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 84020 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 4

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

GEOFFREY THOMAS OSMOND NP
Nurse Practitioner
11760 S 700 E STE 112
DRAPER, UT 84020
Salt Lake County (801) 572-1186
VERTEX PRIMARY CARE LLC
Clinic/Center (Primary Care)
11760 S 700 E STE 112
DRAPER, UT 84020
Salt Lake County (385) 200-1097
DR. ANGELA KEAKA BRIMHALL D.O., M.S.
Dermatology
11760 S 700 E STE 112
DRAPER, UT 84020
Salt Lake County (801) 882-9995
SAGE DERMATOLOGY AND MOHS SURGERY, LLC
Dermatology
11760 S 700 E STE 112
DRAPER, UT 84020
Salt Lake County (216) 280-1875

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 Brandon Mickelson's NPI number?

The NPI number for Brandon Mickelson is 1790544534. It was assigned to this individual provider in the NPPES registry on March 14, 2024.

Where is Brandon Mickelson located?

Brandon Mickelson practices at 11760 S 700 E Ste 112, Draper, UT 84020. The listed phone number is (801) 882-9995.

What is Brandon Mickelson's specialty?

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

Is Brandon Mickelson enrolled in Medicare?

Yes. Brandon Mickelson 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 Brandon Mickelson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Brandon 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 Brandon Mickelson was last updated on May 9, 2024. 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.