MIKAL JOSEPH MIKKELSON (PA-C) – Physician Assistant, NPI 1093896037

MIKAL JOSEPH MIKKELSON (PA-C) is a healthcare provider. based in Saint james, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1841 (MN). The NPI Number for MIKAL JOSEPH MIKKELSON (PA-C) is 1093896037

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MIKAL JOSEPH MIKKELSON (PA-C)
NPI
1093896037
Phone
(507) 375-3391
Address
1101 MOULTON AND PARSONS DR
Enumeration Date
18 October 2006
Last Update Date
17 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5076254031
Graduation Year
2011 (15 years ago)
PAC ID
9638342843
Group Practice PAC ID
4688585771
Professional Enrollment ID
I20111103000843
Address ID
MN560014752MA1025XSTXX300
Telehealth
Yes

Contacts

Secure Messaging
mmikkelson91657@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

4,048 PHYSICIAN ASSISTANT in MN

Loading map...

Provider Addresses for MIKAL JOSEPH MIKKELSON (PA-C)

  • Mayo Clinic Health System Saint James, 1101, Moulton and Parsons Drive, Saint James, Watonwan County, Minnesota, 56081, United States

    SAINT JAMES, MN 560815550

    Phone: (507) 375-3391

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2011-11-03

PECOS data refreshed: 2026-06-15

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
I20111103000843IPhysician AssistantMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes334170$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional219127$0
99215Established patient office or other outpatient visit, 40-54 minutes6856$0
99213Established patient office or other outpatient visit, 20-29 minutes5547$0
99495Transitional care management services for problem of at least moderate complexity1715$0
View full utilization report →

Insurance plans in this area (ZIP 56081)

Loading plans...

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: 4688585771View full group profile
NameSpecialtyState
-MN
-MN
Cardiovascular Disease (Cardiology)MN
Family PracticeMN
Nurse PractitionerMN
Family PracticeMN
-TX
Clinical PsychologistMN
Psychiatry, Sleep MedicineMN
Diagnostic RadiologyMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find MIKAL JOSEPH MIKKELSON (PA-C)'s NPI?
You can confirm MIKAL JOSEPH MIKKELSON (PA-C) with NPI 1093896037; it appears in the national provider directory.
Is MIKAL JOSEPH MIKKELSON (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MIKAL JOSEPH MIKKELSON (PA-C)'s specialty in plain language?
Clinically, the directory lists MIKAL JOSEPH MIKKELSON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MIKAL JOSEPH MIKKELSON (PA-C) practice in Minnesota?
You will see Saint James, Minnesota on file for MIKAL JOSEPH MIKKELSON (PA-C) alongside any extra practice locations.
Is MIKAL JOSEPH MIKKELSON (PA-C) a real provider?
This page reflects official NPPES data for NPI 1093896037. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

301 2nd St NE
NPI: 1922406222
1101 MOULTON AND PARSONS DR
NPI: 1962943092
131 9TH AVE N APT 9A
NPI: 1154973329

LAURA GRACE KOSTOS (PA-C)

Physician Assistant
PO BOX 860912
NPI: 1386413946