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MICHAEL SCOTT MICKELSEN CRNA
NPI 1275838021
Nurse Anesthetist, Certified Registered in Boise, ID

Active since January 25, 2011Accepts Medicare Assignment
1055 N CURTIS RD, BOISE, ID 83706(208) 390-1648 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Scott Mickelsen Crna NPPES

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

MICHAEL SCOTT MICKELSEN CRNA (NPI 1275838021) is an individual nurse anesthetist, certified registered in Boise, Idaho, licensed in Idaho (RNA-783) and active in the NPI registry since January 2011. He is affiliated with Saint Alphonsus Regional Medical Center and is a graduate of Other (2010).

NPPES Registry Identity

NPI1275838021
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMICHAEL SCOTT MICKELSENCredential: CRNA
Location Address1055 N CURTIS RDBoise, ID 83706-1309
Mailing Address413 N 4370 ERigby, ID 83442-4929 · (208) 390-1648
Phone(208) 390-1648
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 25, 2011
✔ NPI 1275838021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in ID · RNA-783
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.
1055 N CURTIS RD, Boise, ID 83706
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Other Identifiers 1

Medicare PINPENDINGID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

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

Michael Scott Mickelsen Crna 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 ID345420832
PECOS Enrollment IDI20110216000304

Medicare Billing Reassignments

4

Medicare enrollment records show Michael Mickelsen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boise Anesthesia, P A
Same address
Anesthesiology
1055 N CURTIS RD
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 71 clinicians in this Medicare group
NPI 1487602298 (208) 367-6416
St Alphonsus Professional Medical Services LLC
Same address
Anesthesiology
1055 N CURTIS RD
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 188 clinicians in this Medicare group
NPI 1386677524 (208) 367-6416
Madison Avenue Surgery Center LLC
214 mi
Ambulatory Surgical
1855 MADISON AVENUE
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 12 clinicians in this Medicare group
NPI 1225488216 (208) 881-5351
Intermountain Anesthesia, PA
214 mi
Anesthesiology
3100 CHANNING WAY
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 39 clinicians in this Medicare group
NPI 1558304329 (208) 529-6269

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83706 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 20

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

DR. MAUREEN A NEWMAN M.D.
Family Medicine (Hospice and Palliative Medicine)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 302-5480
JESSICA A EVERT MD
Family Medicine
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-7350
KRISTIE KAES LCSW
Social Worker (Clinical)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-2121
DR. MICHEAL GEORGE ADONDAKIS MD
Radiology (Diagnostic Radiology)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-2121
JACQUELINE STEAN
Nurse Practitioner
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-3221
DR. JAMES ROBERT POLK MD
Internal Medicine (Rheumatology)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-3104
MATTHEW JUDD D.O.
Emergency Medicine
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 322-1730
IAN MICHAEL WOOD PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-2166

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 Michael Mickelsen's NPI number?

The NPI number for Michael Mickelsen is 1275838021. It was assigned to this individual provider in the NPPES registry on January 25, 2011.

Where is Michael Mickelsen located?

Michael Mickelsen practices at 1055 N Curtis Rd, Boise, ID 83706. The listed phone number is (208) 390-1648.

What is Michael Mickelsen's specialty?

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

Is Michael Mickelsen enrolled in Medicare?

Yes. Michael Mickelsen 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 Michael Mickelsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mickelsen reassigns Medicare benefits to 4 organizations: Boise Anesthesia, P A (Boise, ID), St Alphonsus Professional Medical Services LLC (Boise, ID), Madison Avenue Surgery Center LLC (Idaho Falls, ID) and Intermountain Anesthesia, PA (Idaho Falls, ID). 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 Michael Mickelsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Mickelsen accept?

Health plans from Select Health list Michael Mickelsen 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.

Is Michael Mickelsen affiliated with any hospitals?

According to CMS data, Michael Mickelsen is affiliated with Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa and Eastern Idaho Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Mickelsen was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.