KELBY ELIZABETH MIXELL (PA-C) – Physician Assistant, NPI 1205205358
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,036 PHYSICIAN ASSISTANT in OH
Provider Addresses for KELBY ELIZABETH MIXELL (PA-C)
1005 DERRINGER DRIVE
ENGLEWOOD, OH 45322
Phone: (937) 694-8140
Type: Mailing
30 E APPLE STREET
SUITE 3300
DAYTON, OH 45409
Phone: (937) 208-8394
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: 2015-10-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151008001073 | I | Physician Assistant | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 38 | 24 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 32 | 32 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 22 | 22 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 20 | 20 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 19 | 14 | $0 |
Insurance plans in this area (ZIP 45322)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Nurse Practitioner | IN | |
| Physician Assistant | OH | |
| Hospitalist, Internal Medicine | OH | |
| Internal Medicine | OH | |
| Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine | NY | |
| Hospitalist, Internal Medicine | OH |
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