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

Melissa Mickelson

Individual provider Physician Assistant · NPI 1629185673

Melissa Mickelson is a Physician Assistant in Kalamazoo, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

5973 Beatrice Dr
Kalamazoo, MI 49009
Phone: (269) 286-7110
Fax: (269) 286-7031
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4200 S Westnedge Ave, Kalamazoo, MI 49008-3208 — (269) 381-3500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601002479 (MI)

Record details

NPI number1629185673
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESNovember 27, 2023
Certification dateOctober 7, 2020
Mailing address5943 Stadium Dr, Suite 3, Kalamazoo, MI 49009-3016

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