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

Individual provider Medical Physician Assistant · NPI 1982072682

Kristin Mickelson, PA-C is a Physician Assistant in Upland, California. Qualified in 2015, 11 years ago. Practices with Skinphysicians and Surgeons Medical Group Inc, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2015
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

585 N Mountain Ave Ste A
Upland, CA 91786-8516
Phone: (909) 946-2228
Fax: (909) 946-8007
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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

Record details

NPI number1982072682
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2015
Last updated in NPPESOctober 22, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Skinphysicians And Surgeons Medical Group Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Upland