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

Individual provider Physician Assistant · NPI 1326747726

Mikenzie Marie Mikkelson, PA-C is a Physician Assistant in Rapid City, South Dakota. Qualified in 2022, 4 years ago. Practices with Monument Health Rapid City Hospital Inc, a 561-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2023
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

1635 Caregiver Cir
Rapid City, SD 57702-8529
Phone: (605) 755-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1326747726
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 24, 2023
Last updated in NPPESFebruary 24, 2023
Certification dateDecember 4, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Monument Health Rapid City Hospital Inc — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rapid City