MR. SHAUN MICKELSEN PA-C
NPI 1871945618
Physician Assistant - Medical in Layton, UT

Q: What is Shaun Mickelsen's NPI number?

The NPI number for Shaun Mickelsen is 1871945618. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Q: What is Shaun Mickelsen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Shaun Mickelsen was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 05, 2016PECOS EnrolledAccepts Medicare Assignment

2121 N 1700 W, LAYTON, UT 84041(801) 773-4840 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Shaun Mickelsen Pa-c NPPES

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

MR. SHAUN MICKELSEN PA-C (NPI 1871945618) is an individual medical provider in Layton, Utah, licensed in Utah (363AM0700X) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1871945618

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. SHAUN MICKELSENCredential: PA-C

Location Address2121 N 1700 WLayton, UT 84041-8803

Mailing AddressPo Box 337Layton, UT 84041-0337 · (801) 773-4840 · Fax (801) 525-8151

Phone(801) 773-4840

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 5, 2016

Last NPPES UpdateOctober 6, 2016

✔ NPI 1871945618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in UT · 363AM0700X

2121 N 1700 W, Layton, UT 84041

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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.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

Mr. Shaun Mickelsen 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 ID9436437530

PECOS Enrollment IDI20161025000231

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

52 services28 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Utah Valley Hospital

Acute Care Hospitals · Provo, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460001

Location1034 North 500 WestProvo, UT 84604 · Utah County

Emergency services Birthing friendly

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.

KHALDOUN M AL-RAYESS MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2121 N 1700 W
LAYTON, UT 84041

Davis County (801) 773-4840

ASPEN RIDGE PHYSICAL THERAPY, LLC

Specialist

2121 N 1700 W, SUITE A
LAYTON, UT 84041

Davis County (801) 773-1350

ROBERT L MELLOR MD

Otolaryngology

2121 N 1700 W
LAYTON, UT 84041

Davis County (801) 773-4840

DR. ANN LINGARD PHARMD

Pharmacy (Community/Retail Pharmacy)

2121 N 1700 W
LAYTON, UT 84041

Davis County (801) 773-5666

M&B HOMECARE INC.

Home Health

2121 N 1700 W, SUITE A
LAYTON, UT 84041

Davis County (801) 825-2081

MR. MITCH SMEDING WANGSGARD

Audiologist

2121 N 1700 W
LAYTON, UT 84041

Davis County (801) 773-4840

BRIDGER BARRETT BENTLEY PA

Physician Assistant

2121 N 1700 W
LAYTON, UT 84041

Davis County (801) 773-4840

NORMAN C. BOS M.D.

Orthopaedic Surgery

2121 N 1700 W
LAYTON, UT 84041

Davis County (801) 773-4840

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 Shaun Mickelsen's NPI number?

The NPI number for Shaun Mickelsen is 1871945618. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Where is Shaun Mickelsen located?

Shaun Mickelsen practices at 2121 N 1700 W, Layton, UT 84041. The listed phone number is (801) 773-4840.

What is Shaun Mickelsen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shaun Mickelsen enrolled in Medicare?

Yes. Shaun Mickelsen 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 Shaun Mickelsen accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Shaun Mickelsen 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.

Is Shaun Mickelsen affiliated with any hospitals?

According to CMS data, Shaun Mickelsen is affiliated with Utah Valley Hospital.

When was this NPI record last updated?

The NPPES record for Shaun Mickelsen was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.