Active NPI
Mikayla Mason Dennison
- Hospice and Palliative Medicine (Family Medicine) Physician
- Louisville, KY
National Provider Identifier
1942940879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 06357
- Practice address
- 3 Audubon Plaza Dr Ste 610
Louisville, KY 40217-1362 - Phone
- (502) 636-8334
- Fax
- (502) 636-8269
- NPI assigned
- Mar 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 06357 | KY | Primary |
| Internal Medicine Physician | 207R00000X | 06357 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3 Audubon Plaza Dr Ste 610
Louisville, KY 40217-1362
Mailing address
717 S Houston Ave Ste 304
Tulsa, OK 74127-9023
Phone (918) 561-1100
Other practice location 1
744 W 9th St
Tulsa, OK 74127-9907
Phone (918) 599-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250327003781 | OK | Order and Referring Only - Hospice/Palliative Care | 7618490889 |
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1951 Bishop LN
FL 4
Louisville, KY 40218-1923
P O Box
Suite 776347
Chicago, IL 60677-6347
PO Box
Suite 776347
Chicago, IL 60677-6347
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- mdennison4620941@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1942940879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 S HOUSTON AVE STE 304",
"city": "TULSA",
"state": "OK",
"postal_code": "741279023",
"telephone_number": "918-561-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 AUDUBON PLAZA DR STE 610",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171362",
"telephone_number": "502-636-8334",
"fax_number": "502-636-8269"
}
],
"practiceLocations": [
{
"address_1": "744 W 9th St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741279907",
"country_code": "US",
"telephone_number": "918-599-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENNISON",
"first_name": "MIKAYLA",
"middle_name": "MASON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-30",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "KY",
"license": "06357",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "06357",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.