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

Kelly D Mikesell, PA-C

Individual provider Medical Physician Assistant · NPI 1023200888

Kelly D Mikesell, PA-C is a Physician Assistant in West Jordan, Utah. Qualified in 2007, 19 years ago. Practices with Ogden Clinic Specialty Services LLC, a 133-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
19
Licensed in
UT
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3570 W 9000 S Ste 200
West Jordan, UT 84088-8875
Phone: (801) 566-9211
Fax: (801) 566-5667
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5244260-1206 (UT)

Record details

NPI number1023200888
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 15, 2007
Last updated in NPPESFebruary 9, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Ogden Clinic Specialty Services Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients392
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $3,973 184 payments · a meal or drink at a meeting or visit, not a fee
Education $380 4 payments · educational material or training, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Ogden Regional Medical Center Hospital · Ogden, UT · listed as Mountainstar Medical Group-Ogden Regional Medical Center, LLC
  • Holy Cross Hospital-Davis Hospital · Layton, UT
  • Intermountain Health Layton Hospital Hospital · Layton, UT
  • Intermountain Health McKay-Dee Hospital Hospital · Ogden, UT

Colleagues at Ogden Clinic Specialty Services LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 133 clinicians in the practice; 12 are shown here.

Other providers in West Jordan