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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ROXANNE CANO MICKELSON M.D.
NPI 1295081248
Otolaryngology - Facial Plastic Surgery in Orange, CA

Active since July 27, 2012PECOS Enrolled
101 THE CITY DR S, ORANGE, CA 92868(714) 456-7890 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Nov 9, 2023, Jun 13, 2016 (3 updates tracked since 2016).

About Dr. Roxanne Cano Mickelson M.d. NPPES

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

DR. ROXANNE CANO MICKELSON M.D. (NPI 1295081248) is an individual facial plastic surgery provider in Orange, California, licensed in California (C206957) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295081248
Entity TypeIndividualFemale
Primary Taxonomy207YS0123X
Provider Legal NameDR. ROXANNE CANO MICKELSONCredential: M.D.
Location Address101 THE CITY DR SOrange, CA 92868-3201
Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098
Phone(714) 456-7890
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2012
Enumeration DateJuly 27, 2012
Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1295081248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in CA · C206957
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License P8160 (TX), M-17464 (ID)
101 THE CITY DR S, Orange, CA 92868
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Roxanne Cano M.d.

Secondary Practice Locations 2

Location 134800 Bob Wilson DrSan Diego, CA 92134-1098 · Phone (619) 553-9600
Location 2625 Pole Line Rd W Ste 2BTwin Falls, ID 83301-4270 · Phone (208) 814-7350 · Fax (208) 732-8508

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., 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 and accepts Medicare assignment

Dr. Roxanne Cano Mickelson M.d. 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 ID3971977018
PECOS Enrollment IDI20231122001020
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.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

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. ANKIT BHUPENDRA PATEL D.O.
Radiology (Diagnostic Radiology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-5113
DR. LAURA CATHERINE SKOCZYLAS MD
Obstetrics & Gynecology
101 THE CITY DR S, BUILDING 56, DEPARTMENT OF OB/GYN
ORANGE, CA 92868
Orange County (714) 456-8224
MICHAEL CHENG DO
Internal Medicine (Rheumatology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7110
AESTHETIC AND PLASTIC SURGERY INSTITUTE
Plastic Surgery
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-2986
JOSEPH VILLARREAL M.D.
Emergency Medicine
101 THE CITY DR S, BUILDING 1A, ROOM 1009
ORANGE, CA 92868
Orange County (714) 456-5239
DEMI TRAN
Psychiatry & Neurology (Neurology)
101 THE CITY DR S, CITY TOWER, SUITE 400
ORANGE, CA 92868
Orange County (171) 456-6693
DR. ISABEL CARLTON CLARK M.D.
Surgery (Trauma Surgery)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7890
DYLAN LUKATO
Emergency Medicine
101 THE CITY DR S
ORANGE, CA 92868
Orange County (415) 218-8041

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 Roxanne Mickelson's NPI number?

The NPI number for Roxanne Mickelson is 1295081248. It was assigned to this individual provider in the NPPES registry on July 27, 2012. The provider is also known as Dr. Roxanne Cano M.D..

Where is Roxanne Mickelson located?

Roxanne Mickelson practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 456-7890.

What is Roxanne Mickelson's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Roxanne Mickelson enrolled in Medicare?

Yes. Roxanne Mickelson 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.

What insurance does Roxanne Mickelson accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Roxanne 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.

Is Roxanne Mickelson affiliated with any hospitals?

According to CMS data, Roxanne Mickelson is affiliated with St Lukes Magic Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Roxanne Mickelson was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.