MS. MARCIA LYNN MIELKE (PA-C) – Medical Physician Assistant, NPI 1114953973

MS. MARCIA LYNN MIELKE (PA-C) is a healthcare provider. based in Denver, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 929 (CO). The NPI Number for MS. MARCIA LYNN MIELKE (PA-C) is 1114953973

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARCIA LYNN MIELKE (PA-C)
NPI
1114953973
Phone
(303) 915-4764
Address
1051 S Corona St
Enumeration Date
24 June 2006
Last Update Date
24 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3033384545
Graduation Year
1993 (33 years ago)
PAC ID
8426064569
Group Practice PAC ID
1254238454
Professional Enrollment ID
I20060228000234
Address ID
CO802471314DE10350CXXX501

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for MS. MARCIA LYNN MIELKE (PA-C)

  • 1051 S Corona St

    Denver, CO 802094413

    Phone: (303) 915-4764

    Type: Location

  • 1051, South Corona Street, Denver, Colorado, 80209, United States

    DENVER, CO 802094413

    Phone: (303) 915-4764

    Type: Mailing

  • 10350 E DAKOTA AVE

    DENVER, CO 802471314

    Phone:

    Type: Mailing

  • 8383 W ALAMEDA AVE

    LAKEWOOD, CO 802263007

    Phone: (303) 338-4545

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $373.

Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($234).

Total Amount

$373

General + Research + Ownership

Payments

10

Total payment records

General Amount

$373

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2006-02-28

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
I20060228000234IPhysician AssistantCOTBD

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 80209)

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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: 1254238454View full group profile
NameSpecialtyState
Nurse PractitionerCO
-CO
Physical Therapist In Private PracticeCO
-CO
-CO
-CO
Cardiovascular Disease (Cardiology)CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Family PracticeCO

Reviews

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Frequently asked questions

What is the registry number for MS. MARCIA LYNN MIELKE (PA-C)?
The registry entry for MS. MARCIA LYNN MIELKE (PA-C) shows NPI 1114953973.
Is MS. MARCIA LYNN MIELKE (PA-C)'s NPI status active today?
Active status means MS. MARCIA LYNN MIELKE (PA-C)'s NPI record is not deactivated in the public file.
What services align with MS. MARCIA LYNN MIELKE (PA-C)'s listing?
MS. MARCIA LYNN MIELKE (PA-C)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to MS. MARCIA LYNN MIELKE (PA-C)?
The directory associates MS. MARCIA LYNN MIELKE (PA-C) with Denver, Colorado. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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