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ASHLEE DIANE MICKELSON M.D.
NPI 1104027861
Pediatrics in Spokane, WA

Active since May 30, 2007PECOS Enrolled
3919 N MAPLE ST, SPOKANE, WA 99205(509) 444-8888(509) 444-7806 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ashlee Diane Mickelson M.d. NPPES

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

ASHLEE DIANE MICKELSON M.D. (NPI 1104027861) is an individual pediatrics provider in Spokane, Washington, licensed in Washington (MD60458815) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104027861
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameASHLEE DIANE MICKELSONCredential: M.D.
Location Address3919 N MAPLE STSpokane, WA 99205-1349
Mailing Address611 N Iron Bridge WaySpokane, WA 99202-4932 · (509) 444-8888 · Fax (509) 444-7806
Phone(509) 444-8888
Fax(509) 444-7806
Sole ProprietorYes
Enumeration DateMay 30, 2007
Last NPPES UpdateNovember 4, 2021
NPPES CertifiedNovember 4, 2021
✔ NPI 1104027861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD60458815
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3919 N MAPLE ST, Spokane, WA 99205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashlee Diane Mickelson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99205 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
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 20

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

KATHRYN KAYSER PHARMD
Pharmacist
3919 N MAPLE ST
SPOKANE, WA 99205
Spokane County (509) 444-8200
AMY J HAGINS
Social Worker
3919 N MAPLE ST
SPOKANE, WA 99205
Spokane County (509) 444-8200
MICHAEL COLVER
Nurse Practitioner (Psychiatric/Mental Health)
3919 N MAPLE ST
SPOKANE, WA 99205
Spokane County (509) 444-8200
RHENA VALENTINE CNM
Advanced Practice Midwife
3919 N MAPLE ST
SPOKANE, WA 99205
Spokane County (509) 444-8200
DENISE RENEE BARNES CNM
Advanced Practice Midwife
3919 N MAPLE ST
SPOKANE, WA 99205
Spokane County (509) 444-8888
BETHANY E NERHEIM RN
Registered Nurse
3919 N MAPLE ST
SPOKANE, WA 99205
Spokane County (509) 444-8200
LISA H FREELAND CNM
Nurse Practitioner (Obstetrics & Gynecology)
3919 N MAPLE ST
SPOKANE, WA 99205
Spokane County (509) 444-8200
MELANIE R KAISER
Pharmacist
3919 N MAPLE ST
SPOKANE, WA 99205
Spokane County (509) 444-8888

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 Ashlee Mickelson's NPI number?

The NPI number for Ashlee Mickelson is 1104027861. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Ashlee Mickelson located?

Ashlee Mickelson practices at 3919 N Maple St, Spokane, WA 99205. The listed phone number is (509) 444-8888.

What is Ashlee Mickelson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ashlee Mickelson enrolled in Medicare?

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

What insurance does Ashlee Mickelson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ashlee Mickelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashlee Mickelson was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.