DR. JESS W MIKESELL DDS
NPI 1841311024
Dentist - General Practice in Centralia, IL

Q: What is Jess Mikesell's NPI number?

The NPI number for Jess Mikesell is 1841311024. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Q: What is Jess Mikesell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Jess Mikesell enrolled in Medicare?

No. Jess Mikesell has opted out of Medicare through August 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jess Mikesell was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since April 03, 2007Opted out of Medicare · through Aug 26, 2026

1024 JONAS AVE, CENTRALIA, IL 62801(618) 533-2107 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jess W Mikesell Dds NPPES

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

DR. JESS W MIKESELL DDS (NPI 1841311024) is an individual general practice provider in Centralia, Illinois, licensed in Illinois (319 009068 019019675) and active in the NPI registry since April 2007. He has opted out of Medicare through August 26, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1841311024

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JESS W MIKESELLCredential: DDS

Location Address1024 JONAS AVECentralia, IL 62801

Mailing Address1024 Jonas AveCentralia, IL 62801 · (618) 533-2107

Phone(618) 533-2107

Sole ProprietorNo

Enumeration DateApril 3, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1841311024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 319 009068 019019675

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 014683 (MO)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jess W Mikesell Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 26, 2016 through August 26, 2026.

Opt-Out Effective DateAugust 26, 2016

Opt-Out In Effect ThroughAugust 26, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62801 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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 Jess Mikesell's NPI number?

The NPI number for Jess Mikesell is 1841311024. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Jess Mikesell located?

Jess Mikesell practices at 1024 Jonas Ave, Centralia, IL 62801. The listed phone number is (618) 533-2107.

What is Jess Mikesell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jess Mikesell enrolled in Medicare?

No. Jess Mikesell has opted out of Medicare through August 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jess Mikesell was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.