Individual provider

Kelby Mixell, PA-C

Physician Assistant Medicare enrolled

Kelby Mixell, PA-C is a Physician Assistant in Dayton, OH, registered under NPI 1205205358.

Getting there

The practice address on file is 30 E APPLE STREET SUITE 3300, Dayton, OH 45409. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

30 E APPLE STREET SUITE 3300, Dayton, OH 45409 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
50.004469 OH Physician Assistant primary

This provider holds licence 50.004469 issued in OH. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
9830407022

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Physician Assistant covers

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. NUCC Health Care Provider Taxonomy, code 363A00000X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1205205358 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 18, 2015
Last updatedMar 29, 2024
StatusActive
Sole proprietorNo
CredentialPA-C
Practice address 30 E APPLE STREET
SUITE 3300
Dayton, OH 45409
(937) 208-8394
Mailing address 1005 DERRINGER DRIVE
Englewood, OH 45322
Other identifiers 1125596 · NATIONAL CERTIFICATION OF PHYSICIAN ASSISTANT (OH)
50.004469 · OHIO CERTIFICATION TO PRACTICE- PHYSICIAN ASSISTANT (OH)
0144502 (OH)
This record was updated on Mar 29, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1205205358 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 0 5 2 0 5 3 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 4 0 1 3 1

Sum = 42 · next multiple of 10 = 50 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1205205358?
NPI 1205205358 is the National Provider Identifier assigned to Kelby Mixell, PA-C in Dayton, OH. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physician Assistant cover?
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…
How do I contact Kelby Mixell, PA-C?
The phone number on file with NPPES is (937) 208-8394, last updated Mar 29, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kelby Mixell, PA-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1205205358 a valid number?
Yes. 1205205358 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.