MR. STEVEN DON MICKELSON (PA) – Physician Assistant, NPI 1477673804

MR. STEVEN DON MICKELSON (PA) is a healthcare provider. based in Austin, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA05217 (TX). The NPI Number for MR. STEVEN DON MICKELSON (PA) is 1477673804

Main info

Male
20 Years Of Experience
Name
MR. STEVEN DON MICKELSON (PA)
NPI
1477673804
Phone
(512) 206-4300
Address
7800 Shoal Creek Blvd
Enumeration Date
30 March 2007
Last Update Date
4 April 2025

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
4154761000
Graduation Year
2006 (20 years ago)
PAC ID
3678667193
Group Practice PAC ID
6305160300
Professional Enrollment ID
I20250417002648
Address ID
CA941432204SA505XXAVEX300
Telehealth
Yes

Contacts

Secure Messaging
smickelson3968@epiccwdv.hcadirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MR. STEVEN DON MICKELSON (PA)

  • 7800 Shoal Creek Blvd

    STE 205-N

    Austin, TX 787571098

    Phone: (512) 206-4300

    Fax: (512) 206-4376

    Type: Location

  • 1900 SCENIC DR

    SUITE 3308

    GEORGETOWN, TX 786267724

    Phone: (512) 930-1105

    Fax: (512) 869-7434

    Type: Location

  • 7800 SHOAL CREEK BLVD

    STE 205-N

    AUSTIN, TX 787571098

    Phone: (512) 206-4300

    Fax: (512) 206-4376

    Type: Mailing

  • 1900 Scenic Dr

    SUITE 3308

    Georgetown, TX 786267724

    Phone: (512) 930-1105

    Fax: (512) 869-7434

    Type: Location

  • 651 1ST ST W STE L

    SONOMA, CA 954767046

    Phone: (415) 927-0666

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $1,278.

Total Amount is formed as General ($1,278) + Research ($0) + Ownership ($0) = $1,278.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Abbott Laboratories ($245).

Total Amount

$1,278

General + Research + Ownership

Payments

52

Total payment records

General Amount

$1,278

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2025-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070914000324IPhysician AssistantTXTBD
I20250417002648IPhysician 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician9790$0
View full utilization report →

Insurance plans in this area (ZIP 78757)

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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: 6305160300View full group profile
NameSpecialtyState
General SurgeryCA
Cardiac Electrophysiology, Internal Medicine, Nuclear Medicine, Cardiovascular Disease (Cardiology)CA
Surgical OncologyCA
Orthopedic SurgeryCA
Orthopedic Surgery, Sports MedicineCA
-CA
P S Y C H I A T R YCA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA

Reviews

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Frequently asked questions

Does MR. STEVEN DON MICKELSON (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. STEVEN DON MICKELSON (PA) uses 1477673804.
Does CMS list MR. STEVEN DON MICKELSON (PA) as active?
Yes — MR. STEVEN DON MICKELSON (PA) is active in the NPI listing used on this page.
What is MR. STEVEN DON MICKELSON (PA)'s primary classification?
Physician Assistant is the headline specialty for MR. STEVEN DON MICKELSON (PA) here. Clinical services aligned with this taxonomy classification.
Where is MR. STEVEN DON MICKELSON (PA) based?
MR. STEVEN DON MICKELSON (PA) is tied to Austin, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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