LINDSEY ANN MACKELLAR (PA-C) – Surgical Physician Assistant, NPI 1053512582

LINDSEY ANN MACKELLAR (PA-C) is a healthcare provider. based in Vail, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2336 (CO). The NPI Number for LINDSEY ANN MACKELLAR (PA-C) is 1053512582

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
LINDSEY ANN MACKELLAR (PA-C)
NPI
1053512582
Phone
(970) 479-5036
Address
PO BOX 40000
Enumeration Date
31 May 2007
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9252954000
Graduation Year
2006 (20 years ago)
PAC ID
5395825699
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20120125000243
Address ID
CA945965318WA1425XSTXX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,166 PHYSICIAN ASSISTANT in CO

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Provider Addresses for LINDSEY ANN MACKELLAR (PA-C)

  • PO BOX 40000

    VAIL, CO 816587520

    Phone: (970) 479-5036

    Type: Mailing

  • Vail Health Vail Campus, 181, West Meadow Drive, Vail, Eagle County, Colorado, 81657, United States

    VAIL, CO 81657

    Phone: (970) 479-5036

    Fax: (970) 479-5156

    Type: Location

  • 181 W MEADOW DR

    VAIL, CO 816575242

    Phone: (970) 479-5036

    Fax: (970) 479-5156

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120125000243IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81658)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

How do I look up LINDSEY ANN MACKELLAR (PA-C) by NPI?
Use NPI 1053512582 when you need to reference LINDSEY ANN MACKELLAR (PA-C) in forms, claims, or directories.
Is LINDSEY ANN MACKELLAR (PA-C) active in the national directory?
LINDSEY ANN MACKELLAR (PA-C)'s public NPI profile is in an active state.
Does LINDSEY ANN MACKELLAR (PA-C) list a primary specialty?
If you are matching referrals, note Surgical Physician Assistant for LINDSEY ANN MACKELLAR (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for LINDSEY ANN MACKELLAR (PA-C)?
We surface Vail, Colorado for LINDSEY ANN MACKELLAR (PA-C) based on available NPPES addresses.
Is LINDSEY ANN MACKELLAR (PA-C) a real provider?
This page reflects official NPPES data for NPI 1053512582. Always confirm identity and privileges with the practice and licensing boards.

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