Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Miss. Keely Nicole Mixon, PA

Individual provider Physician Assistant · NPI 1710181714

Miss. Keely Nicole Mixon, PA is a Physician Assistant in Pensacola, Florida. Licensed in Alabama, Florida and Louisiana. Registered with an NPI since 2007.

Licensed in
AL, FL, LA
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5151 N 9th Ave
Pensacola, FL 32504-8721
Phone: (850) 416-7619
Fax: (850) 416-7753
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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 PA.200255 (LA)
Physician Assistant Taxonomy 363A00000X · Licence PA9110923 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA.1523 (AL)

Record details

NPI number1710181714
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 13, 2007
Last updated in NPPESDecember 16, 2019
Certification dateDecember 16, 2019

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 patients20
Services billed 26 a service is one billed item, such as a visit, a test or a procedure
Average patient age64

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.

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