KRISTIN MICKELSON PA-C
NPI 1982072682
Physician Assistant - Medical in Upland, CA

Active since September 11, 2015PECOS EnrolledAccepts Medicare Assignment
84.37/100
CMS Quality Rating
585 N MOUNTAIN AVE, SUITE A, UPLAND, CA 91786(909) 946-2228(909) 946-8007 Get Directions Write a Review

NPPES record last updated: October 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristin Mickelson Pa-c NPPES

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

KRISTIN MICKELSON PA-C (NPI 1982072682) is an individual medical provider in Upland, California and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1982072682
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTIN MICKELSONCredential: PA-C
Location Address585 N MOUNTAIN AVE, SUITE AUpland, CA 91786-8516
Mailing Address840 Towne Center DrPomona, CA 91767-5900 · (909) 398-1550 · Fax (909) 398-1573
Fax(909) 946-8007
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 11, 2015
Last NPPES UpdateOctober 22, 2015
NPI 1982072682 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
585 N MOUNTAIN AVE, Upland, CA 91786

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

Kristin 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 ID5991005217
PECOS Enrollment IDI20151118001160
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 9

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
403 services63 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.
146 services122 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
90 services73 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
65 services50 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
54 services49 patients
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.
31 services22 patients

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.

84.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality72.68
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Advance Care Plan
24%236 patients1/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%33 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 98% · 351 patients
96%351 patients
Provide Patients Electronic Access to Their Health Information
79%433 patients3/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
98%192 patients4/55-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 8

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

Nurse Practitioner
585 N MOUNTAIN AVE
UPLAND, CA 91786
Family Medicine
585 N MOUNTAIN AVE, SUITE C
UPLAND, CA 91786
Physician Assistant
585 N MOUNTAIN AVE, SUITE A
UPLAND, CA 91786
Physician Assistant
585 N MOUNTAIN AVE, SUITE A
UPLAND, CA 91786
Dermatology
585 N MOUNTAIN AVE, SUITE C
UPLAND, CA 91786
Acupuncturist
585 N MOUNTAIN AVE, SUITE C-1
UPLAND, CA 91786
Dermatology (Procedural Dermatology)
585 N MOUNTAIN AVE, SUITE A
UPLAND, CA 91786
Nurse Practitioner (Family)
585 N MOUNTAIN AVE, SUITE A
UPLAND, CA 91786

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 Kristin Mickelson's NPI number?

The NPI number for Kristin Mickelson is 1982072682. It was assigned to this individual provider in the NPPES registry on September 11, 2015.

Where is Kristin Mickelson located?

Kristin Mickelson practices at 585 N Mountain Ave Suite A, Upland, CA 91786. The listed phone number is (909) 946-2228.

What is Kristin Mickelson's specialty?

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

Is Kristin Mickelson enrolled in Medicare?

Yes. Kristin 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.

When was this NPI record last updated?

The NPPES record for Kristin Mickelson was last updated on October 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.