Active NPI
Paul A Mikkelson, M.D.
- Emergency Medicine Physician
- Farmington, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD2005-0318
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10023500 | Other | LOVELACE | |
| 64731553 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taos Health Systems Inc Holy Cross Hospital | Emergency Medicine | Current | Accepting new patients |
| Healthfront PC | Emergency Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of New Mexico - Clovis, LLC | Emergency Medicine | Current | Accepting new patients |
| Durango Surgery Center LLC | Current | Accepting new patients | |
| Taos Health Systems Inc Holy Cross | Current | Accepting new patients | |
| Los Alamos Emergency Medical Associates Inc | Emergency Medicine | Current | Accepting new patients |
| Animas Surgical Hospital, LLC | Emergency Medicine | Current | 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
- 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.
-
dba Animas Physician Network
- Emergency Medicine Physician
- Durango, CO
- NPI 1861721714
-
dba SJHP Gastroenterology
- Gastroenterology Physician
- Farmington, NM
- NPI 1639662901
-
- Emergency Medicine Physician
- Santa Fe, NM
- NPI 1417901612
-
- Emergency Medicine Physician
- Hobbs, NM
- NPI 1477031094
-
- Emergency Medicine Physician
- Los Alamos, NM
- NPI 1679965883
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Taos, NM
- NPI 1194751958
Emergency Medicine
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
-
dba Mogul Medical Urgent Care
- Urgent Care Clinic/Center
- Taos Ski Valley, NM
- NPI 1073818555
-
- Internal Medicine Physician
- Taos, NM
- NPI 1639310436
-
dba Animas Surgical Center at Escalante
- Ambulatory Surgical Clinic/Center
- Durango, CO
- NPI 1548870603
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Animas Internal Medicine
- Internal Medicine Physician
- Durango, CO
- NPI 1184178238
Hospital
-
dba Animas Urgent Care
- Urgent Care Clinic/Center
- Durango, CO
- NPI 1194161422
Hospital
-
dba Animas Occupational Medicine
- Occupational Medicine Physician
- Durango, CO
- NPI 1497071435
Hospital
-
dba Animas Surgical Hospital
- General Acute Care Hospital
- Durango, CO
- NPI 1508842964
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.