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DR. ANNIE LEE MICKELSON D.C.
NPI 1053680991
Chiropractor in Sarasota, FL

Active since December 21, 2011
9033 ROCKY LAKE CT, SARASOTA, FL 34238(612) 940-0827 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 10, 2024, Aug 15, 2016 (2 updates tracked since 2016).

About Dr. Annie Lee Mickelson D.c. NPPES

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

DR. ANNIE LEE MICKELSON D.C. (NPI 1053680991) is an individual chiropractor in Sarasota, Florida, licensed in Florida (14478) and active in the NPI registry since December 2011. She is a graduate of Northwestern College Of Chiropractic (2010).

NPPES Registry Identity

NPI1053680991
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. ANNIE LEE MICKELSONCredential: D.C.
Location Address9033 ROCKY LAKE CTSarasota, FL 34238-4007
Mailing Address9033 Rocky Lake CtSarasota, FL 34238-4007 · (612) 940-0827
Phone(612) 940-0827
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2010
Enumeration DateDecember 21, 2011
Last NPPES UpdateApril 10, 20242 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1053680991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in FL · 14478✔ Licensed in WI · 4726-12✔ Licensed in MN · 5549
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
9033 ROCKY LAKE CT, Sarasota, FL 34238
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Other Names 1

Former Name (1)Annie Lee Wildberg D.c.

Other Identifiers 1

Medicaid1053680991MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Annie Lee Mickelson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688832389
PECOS Enrollment IDI20120227000791

Other Providers at the Same Location NPPES

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

LUX CHIROPRACTIC LLC
Chiropractor
9033 ROCKY LAKE CT
SARASOTA, FL 34238
Sarasota County (612) 940-0827

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 Annie Mickelson's NPI number?

The NPI number for Annie Mickelson is 1053680991. It was assigned to this individual provider in the NPPES registry on December 21, 2011. The provider is also known as Annie Lee Wildberg D.C..

Where is Annie Mickelson located?

Annie Mickelson practices at 9033 Rocky Lake Ct, Sarasota, FL 34238. The listed phone number is (612) 940-0827.

What is Annie Mickelson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Annie Mickelson enrolled in Medicare?

Yes. Annie Mickelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Annie Mickelson was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.