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

Mikaela La Vita Kaess, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1477437077

Mikaela La Vita Kaess, PHYSICIANASSISTANT is a Physician Assistant in Phoenix, Arizona. Qualified in 2025, 1 year ago. Practices with District Medical Group Inc, a 450-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
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Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11183 (AZ)

Record details

NPI number1477437077
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 5, 2025
Last updated in NPPESAugust 5, 2025
Certification dateJuly 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice District Medical Group Inc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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