Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristin Leigh Mikkelsen, PA-C

Individual provider Physician Assistant · NPI 1750614608

Kristin Leigh Mikkelsen, PA-C is a Physician Assistant in Loveland, Colorado. Qualified in 1998, 28 years ago. Accepts Medicare assignment. Licensed in Colorado, Indiana, Kentucky and Ohio and 2 more.

Years since qualifying
28
Licensed in
CO, IN, KY, OH, SD, WI
In the registry since
2009
Specialties on file
9
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1625 Foxtrail Dr
Loveland, CO 80538-9088
Phone: (970) 500-2244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 00097471 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 00097471 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 363AM0700X (OH)
Physician Assistant Taxonomy 363A00000X · Licence 1448-023 (WI)
Physician Assistant Taxonomy 363A00000X · Licence TC371 (KY)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 10003850A (IN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0698 (SD)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 50.003856 (OH)

Record details

NPI number1750614608
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2009
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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