Individual provider Active NPI

Paul A Mikkelson, M.D.

  • Emergency Medicine Physician
  • Farmington, NM
National Provider Identifier
1346297769
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD2005-0318 Issued in NM
Practice address
801 W Maple St
Farmington, NM 87401-5630
Phone
(505) 325-5011
Fax
(505) 324-2258
NPI assigned
May 30, 2006
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD2005-0318 NM Primary

Addresses

Primary practice location

801 W Maple St
Farmington, NM 87401-5630

Mailing address

PO Box 844088
Dallas, TX 75284-4088
Phone (505) 609-2000

Other identifiers 2

IdentifierTypeStateIssuer
10023500OtherLOVELACE
64731553MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050915000030 NM Practitioner - Emergency Medicine 7719916758 Reassigns benefits to 7 organizations
I20241211002584 CO Practitioner - Emergency Medicine 7719916758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of New Mexico School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Animas Surgical Hospital LLCGroup PAC ID 0143295428, 61 clinicians

Practice addresses (Care Compare)

450 S Camino del Rio
106 Animas Urgent Care
Durango, CO 81301-6856
Phone (970) 385-2388

801 W Maple St
Sjrmc ER Physicians
Farmington, NM 87401-5630
Phone (505) 609-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Health Systems Inc Holy Cross Hospital Emergency Medicine CurrentSince Apr 14, 2018 Accepting new patients
Healthfront PC Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of New Mexico - Clovis, LLC Emergency Medicine CurrentSince Apr 22, 2023 Accepting new patients
Durango Surgery Center LLC CurrentSince Dec 5, 2024 Accepting new patients
Taos Health Systems Inc Holy Cross CurrentSince Apr 14, 2018 Accepting new patients
Los Alamos Emergency Medical Associates Inc Emergency Medicine CurrentSince Feb 1, 2016 Accepting new patients
Animas Surgical Hospital, LLC Emergency Medicine CurrentSince Dec 5, 2024 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Current Accepting new patients

Locations

450 S Camino del Rio
Ste 106
Durango, CO 81301
Phone (970) 259-9311

575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000

3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584

4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

4801 Beckner Rd
#F
Santa Fe, NM 87507
Phone (505) 772-1234

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

6128 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 334-1363

6330 S Western Ave
Ste 150
Sioux Falls, SD 57108

Interoperability endpoints

  • Direct secure messaging: pmikkelson9720@ahs.direct-ci.com

Organizations & group practices 10

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1346297769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844088",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844088",
            "telephone_number": "505-609-2000",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015630",
            "telephone_number": "505-325-5011",
            "fax_number": "505-324-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKKELSON",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2005-0318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE",
            "identifier": "10023500",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64731553",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.