Mikenzie Marie Mikkelson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1635 Caregiver Cir
Rapid City, SD 57702-8529

Phone

(605) 755-6700

NPI assigned

Feb 24, 2023

Sex

Female

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 SD

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monument Health Rapid City Hospital IncGroup PAC ID 6002729506, 560 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077
• Monument Health Spearfish Hospital Hospital, Spearfish, SD, CCN 430048

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.

• Monument Health Rapid City Hospital, Inc

  • Multi-Specialty Clinic/Center
  • Rapid City, SD
  • NPI 1275553463
  Medicare reassignment Care Compare group NPD
• Monument Health Rapid City Hospital Inc

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1215727854
  NPD

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

• Monument Health Network, Inc.

  • General Acute Care Hospital
  • Spearfish, SD
  • NPI 1033183942
  Care Compare affiliation
• Monument Health Network, Inc.

  • Dermatology Physician
  • Spearfish, SD
  • NPI 1477932390

  Hospital

  Care Compare affiliation
• Monument Health Network, Inc.

  • General Acute Care Hospital
  • Spearfish, SD
  • NPI 1548648264
  Care Compare affiliation
• Monument Health Network, Inc.

  • General Acute Care Hospital
  • Spearfish, SD
  • NPI 1720491137
  Care Compare affiliation
• Monument Health Network, Inc.

  • Orthopaedic Surgery Physician
  • Spearfish, SD
  • NPI 1811375496

  Hospital

  Care Compare affiliation
• Monument Health Network, Inc.

  • Multi-Specialty Clinic/Center
  • Spearfish, SD
  • NPI 1902284581

  Hospital

  Care Compare affiliation
• Monument Health Network, Inc.

  • Rehabilitation Hospital Unit
  • Belle Fourche, SD
  • NPI 1972779957
  Care Compare affiliation
• Monument Health Rapid City Hospital Inc

  • Psychiatric Hospital Unit
  • Rapid City, SD
  • NPI 1437531571
  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1376922591

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • Family Medicine Physician
  • Rapid City, SD
  • NPI 1386022960

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1437122009
  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1689052862
  Care Compare affiliation

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1326747726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 CAREGIVER CIR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028529",
            "telephone_number": "605-755-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 CAREGIVER CIR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028529",
            "telephone_number": "605-755-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKKELSON",
        "first_name": "MIKENZIE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynn Michael, M.D.
• Katie Michelson, CNP
• Curtis Andrew Middleton, NCSP
• Nancy Middleton
• Midwest Heart and Vascular Associates
• Milestones Pediatric Physical Therapy
• Aaron Miller, P.T.
• Andrea Miller, LAC
• Bonnie L Miller, CNP
• Cari J Miller, COTA/L

• Physician Assistant in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.