Brian Mikkelson, PA-C

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

PA.0008067 Issued in CO

Practice address

8300 W 38TH Ave
Wheat Ridge, CO 80033-6005

Phone

(303) 425-4500

NPI assigned

Aug 1, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Surgical Service PCGroup PAC ID 7416844311, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009

Merit-based Incentive Payment System (MIPS)

Final score

87.22 of 100Reported as group

Quality

80.56

Improvement activities

40

Cost

93.04

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Colorado Surgical Service PC

  • Surgery Physician
  • Golden, CO
  • NPI 1679602593
  Medicare reassignment Care Compare group
• Colorado Trauma Services PC

  • Trauma Surgery Physician
  • Wheat Ridge, CO
  • NPI 1831135391
  Medicare reassignment
• Colorado Surgical Service PC

  • Surgery Physician
  • Highlands Ranch, CO
  • NPI 1346977865
  NPD
• Colorado Trauma Services PC

  • Surgery Physician
  • Lakewood, CO
  • NPI 1487260196
  NPD
• Colorado Surgical Service PC

  • Surgery Physician
  • Wheat Ridge, CO
  • NPI 1528141637
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Intermountain Front Range, Inc

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1811739923
  Care Compare affiliation
• Intermountain Front Range, Inc.

  • General Acute Care Hospital
  • Golden, CO
  • NPI 1235803917
  Care Compare affiliation
• Intermountain Front Range, Inc.

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1619706249
  Care Compare affiliation
• Intermountain Front Range, Inc.

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1669461281
  Care Compare affiliation
• Intermountain Front Range, Inc.

  • General Acute Care Hospital
  • Golden, CO
  • NPI 1891576716
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1316629223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ENCHANTED RD",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804018803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336005",
            "telephone_number": "303-425-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKKELSON",
        "first_name": "BRIAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CO",
            "license": "PA.0008067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Anne Michel, PS-S
• Nancy Ann Middlemiss, CNM
• Kathleen Elizabeth Middleton, NP
• Mighty Minds Therapy LLC
• Salem Mihalick, RPH
• Jerry S Miklin, M.D.
• Mila Home Care
• Perla Millan Aguilar, PMHNP-BC
• Andrea Miller
• Charity Sue Miller, LCSW

• Trauma Surgery Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Trauma Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.