Kristin Mickelson, PA-C - Medicare Physician Assistant in Upland, CA

  1. Home
  2. Physician Assistant
  3. CA
  4. Upland
Kristin Mickelson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Upland, California. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Skinphysicians And Surgeons Medical Group Inc, Forefront Dermatology - Pacific, P.c. and her current practice location is 585 N Mountain Ave, Suite A, Upland, California. You can reach out to her office (for appointments etc.) via phone at (909) 946-2228.

Kristin Mickelson is licensed to practice in NU (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982072682.

Contact Information

Kristin Mickelson, PA-C
585 N Mountain Ave, Suite A,
Upland, CA 91786-8516
(909) 946-2228
(909) 946-8007

Map and Direction




Provider's Profile

Full NameKristin Mickelson
GenderFemale
SpecialityPhysician Assistant
Experience11 Years
Location585 N Mountain Ave, Upland, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristin Mickelson graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1982072682
  • Provider Enumeration Date: 09/11/2015
  • Last Update Date: 10/22/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5991005217
  • Enrollment ID: I20151118001160

Medical Identifiers

Medical identifiers for Kristin Mickelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982072682NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (NU)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Skinphysicians And Surgeons Medical Group Inc39714011266
Forefront Dermatology - Pacific, P.c.832594601525

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristin Mickelson allows following entities to bill medicare on her behalf.
Entity NameChaparral Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477733624
PECOS PAC ID: 6800709403
Enrollment ID: O20031110000605
Entity NameForefront Dermatology - Pacific, P.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356535009
PECOS PAC ID: 8325946015
Enrollment ID: O20031219000212
Entity NameSkinphysicians & Surgeons Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356411524
PECOS PAC ID: 3971401126
Enrollment ID: O20031223000872

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Mickelson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristin Mickelson, PA-C
840 Towne Center Dr,
Pomona, CA 91767-5900

Ph: (909) 398-1550		Kristin Mickelson, PA-C
585 N Mountain Ave, Suite A,
Upland, CA 91786-8516

Ph: (909) 946-2228

Reviews and Comments


Physician Assistant Nurses in Upland, CA

Aayesha Arun Patel, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 299 W Foothill Blvd Ste 209, Upland, CA 91786
Phone: 909-982-4000    Fax: 909-981-7800
Mr. Ian Joseph Donahue, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1310 San Bernardino Rd, Ste. 103, Upland, CA 91786
Phone: 909-920-0444    Fax: 909-920-5044
Bhavna Shalu Tandon, DMSC, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 954 W Foothill Blvd Ste A, Upland, CA 91786
Phone: 909-946-4222    
Cecille Joy Rasgo Chan, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1310 San Bernardino Rd Ste 102, Upland, CA 91786
Phone: 909-608-2008    
Qammer Alzubaidi, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1676 N Rocky Rd, Upland, CA 91784
Phone: 480-634-3803    
Anlanh-jennifer Nguyen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 901 San Bernardino Rd Ste 102, Upland, CA 91786
Phone: 909-579-6721    Fax: 909-579-6737
Victoria Covarrubias,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 999 San Bernardino Rd, Upland, CA 91786
Phone: 909-985-2811    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.