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DEBORAH ELAINE MICKLEY
NPI 1023364452
Nurse Anesthetist, Certified Registered in Minneapolis, MN

Active since August 03, 2012PECOS EnrolledAccepts Medicare Assignment
2828 CHICAGO AVE SOUTH, SUITE 300, MINNEAPOLIS, MN 55407(612) 859-1656 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Deborah Elaine Mickley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBORAH ELAINE MICKLEY (NPI 1023364452) is an individual nurse anesthetist, certified registered in Minneapolis, Minnesota, licensed in Minnesota (0661) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1023364452
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameDEBORAH ELAINE MICKLEY
Location Address2828 CHICAGO AVE SOUTH, SUITE 300Minneapolis, MN 55407
Mailing Address2828 Chicago Ave South, Suite 300Minneapolis, MN 55407 · (612) 859-1656
Phone(612) 859-1656
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 3, 2012
Last NPPES UpdateAugust 30, 2018
✔ NPI 1023364452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · 0661
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License R1697085 (MN)
2828 CHICAGO AVE SOUTH, Minneapolis, MN 55407
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Secondary Practice Locations 2

Location 12250 NW 26th StOwatonna, MN 55060-5503 · Phone (507) 451-3850
Location 2800 E 28th StMinneapolis, MN 55407-3799 · Phone (612) 863-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deborah Elaine Mickley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072764984
PECOS Enrollment IDI20121126000558
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Deborah Mickley reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allina Health System
Same address
Physical Medicine & Rehabilitation
2833 CHICAGO AVE
Minneapolis, MN 55407
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group
NPI 1528259132 (612) 863-3333
Fairview Health Services
1.7 mi
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1316008212 (612) 273-7838
University Anesthesia Providers, LLC
1.7 mi
Anesthesiology
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 681 clinicians in this Medicare group
NPI 1699711143 (612) 273-3000
University Of Minnesota Health Clinics And Surgery Center Inc
2.3 mi
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
NPI 1003485004 (612) 273-8383
Metropolitan Anesthesia Network, LLP
11 mi
Anesthesiology
14700 28TH AVE N, SUITE 20
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,033 clinicians in this Medicare group
NPI 1558314427 (763) 559-3779
Fairview Maple Grove Surgery Center, LLC
16 mi
Anesthesiology
14500 99TH AVE N STE 500
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 226 clinicians in this Medicare group
NPI 1730068032 (855) 324-7843

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAWRENCE BURSTEIN M.D.
Psychiatry & Neurology (Neurology)
2828 CHICAGO AVE SOUTH, SUITE 200
MINNEAPOLIS, MN 55407
Hennepin County (612) 879-1000
THOMAS N SCHRIEFER M.D.
Psychiatry & Neurology (Neurology)
2828 CHICAGO AVE SOUTH, SUITE 200
MINNEAPOLIS, MN 55407
Hennepin County (612) 879-1000
STEVEN S LEBOW M.D.
Psychiatry & Neurology (Neurology)
2828 CHICAGO AVE SOUTH, SUITE 200
MINNEAPOLIS, MN 55407
Hennepin County (612) 879-1000
GARY J KRUPP PHD
Clinical Neuropsychologist
2828 CHICAGO AVE SOUTH, SUITE 200
MINNEAPOLIS, MN 55407
Hennepin County (612) 879-1000
GREGORY J LAMBERTY PHD
Clinical Neuropsychologist
2828 CHICAGO AVE SOUTH, SUITE 200
MINNEAPOLIS, MN 55407
Hennepin County (612) 879-1000
DOROTHEA D RUSSELL RN, MS, CNP
Psychiatry & Neurology (Neurology)
2828 CHICAGO AVE SOUTH, SUITE 200
MINNEAPOLIS, MN 55407
Hennepin County (612) 879-1000
SOREN A RYBERG MD
Psychiatry & Neurology (Neurology)
2828 CHICAGO AVE SOUTH, SUITE 200
MINNEAPOLIS, MN 55407
Hennepin County (612) 879-1000
SARA L LANGER M.D.
Psychiatry & Neurology (Neurology)
2828 CHICAGO AVE SOUTH, SUITE 200
MINNEAPOLIS, MN 55407
Hennepin County (612) 879-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deborah Mickley's NPI number?

The NPI number for Deborah Mickley is 1023364452. It was assigned to this individual provider in the NPPES registry on August 3, 2012.

Where is Deborah Mickley located?

Deborah Mickley practices at 2828 Chicago Ave South Suite 300, Minneapolis, MN 55407. The listed phone number is (612) 859-1656.

What is Deborah Mickley's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Deborah Mickley enrolled in Medicare?

Yes. Deborah Mickley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Deborah Mickley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Mickley reassigns Medicare benefits to 6 organizations: Allina Health System (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), University Anesthesia Providers, LLC (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), Metropolitan Anesthesia Network, LLP (Plymouth, MN) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deborah Mickley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Deborah Mickley was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.