Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710181714 Individual Practitioner Female Practitioner

Keely Nicole Mixon , PA

Physician Assistant • Pensacola, FL

Professional Overview & Biography Verified Profile Summary

Keely Mixon, PA is a registered healthcare professional specializing in Physician Assistant in Pensacola, FL. Practice services are available at 5151 N 9TH AVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5151 N 9th Ave

Pensacola, FL 325048721

Telephone 8504167619
Fax 8504167753
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pensacola, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
257 Specialists

Practicing in Pensacola, FL (10376 Statewide)

Telehealth Adoption Rate
9.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
11 11 $1593.00 $98.21

Medical Specialties & State Licenses

CMS Verified: 2019-12-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License LA PA.200255

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License FL PA9110923

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License AL PA.1523

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1380709 (LA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
Dr. Samual Sauer , MD

Internal Medicine

NPI 1023019536

Doctor of Medicine (M.D.)

Amanda Moore , NP-C

Nurse Practitioner - Adult Health

NPI 1033496286

Nurse Practitioner (Certified)

Lacee Helms , ARNP

Nurse Practitioner

NPI 1043645773

Advanced Registered Nurse Practitioner

Mary Calvi , APRN

Nurse Practitioner - Family

NPI 1043889520

Advanced Practice Registered Nurse

Dr. Jason Ramirez , MD

Anesthesiology - Hospice and Palliative Medicine

NPI 1053386532

Doctor of Medicine (M.D.)

NPI 1083657498

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location December 16, 2019

Registered at 5151 N 9TH AVE, PENSACOLA, FL 325048721 (Tel: 8504167619)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2019

Physician Assistant (License #PA.200255 in LA)

📍
Updated Practice Location July 30, 2018

Registered at 5151 N 9TH AVE, PENSACOLA, FL 32504 (Tel: 8504167619)

📍
Updated Business Mailing Address July 30, 2018

Registered at PO BOX 2699, PENSACOLA, FL 325132699 (Tel: 8504167619)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2018

Physician Assistant (License #PA9110923 in FL)

NPI Profile Active July 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2013

Registered at 2225 WOODLAND CT, PORT ALLEN, LA 707674164 (Tel: 2257491203)

📍
Updated Business Mailing Address July 18, 2013

Registered at 2225 WOODLAND CT, PORT ALLEN, LA 707674164 (Tel: 2257491203)

👤
Provider Name / Credentials Updated July 18, 2013

Recorded as KEELY MIXON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2013

Physician Assistant (License #200255 RX in LA)

🟢
Initial NPI Registration & Enumeration June 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710181714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2007
Last Update: December 16, 2019
Sole Proprietor: No

Mailing Address

Po Box 2699

Pensacola, FL 325132699

Phone: 8504167619

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.