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

Q: 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.

Q: What is Deborah Mickley's specialty?

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

Q: 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 7 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.

Active since August 03, 2012Accepts 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: August 09, 2026.

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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 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, and ordering and referring status from the CMS PECOS system.

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

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)