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JOHN MICKLEY
NPI 1346945086
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since April 03, 2023PECOS Enrolled
655 W 8TH ST # C126, JACKSONVILLE, FL 32209(904) 244-3831 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Mickley NPPES

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

JOHN MICKLEY (NPI 1346945086) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346945086
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN MICKLEY
Location Address655 W 8TH ST # C126Jacksonville, FL 32209-6511
Mailing Address655 W 8th St # C126Jacksonville, FL 32209-6511 · (904) 244-3831
Phone(904) 244-3831
Sole ProprietorNo
Enumeration DateApril 3, 2023
NPPES CertifiedApril 3, 2023
✔ NPI 1346945086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
655 W 8TH ST # C126, Jacksonville, FL 32209
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Mickley 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.

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.

DIVYA PARAMASIVAM DPM
Student in an Organized Health Care Education/Training Program
655 W 8TH ST # C126
JACKSONVILLE, FL 32209
Duval County (904) 244-3831
JOSE ZERMENO MD
Orthopaedic Surgery
655 W 8TH ST # C126
JACKSONVILLE, FL 32209
Duval County (904) 383-1010
NICHOLAS KRAKE DPM
Student in an Organized Health Care Education/Training Program
655 W 8TH ST # C126
JACKSONVILLE, FL 32209
Duval County (904) 383-1010
KETRICK LONIE LACOSTE
Student in an Organized Health Care Education/Training Program
655 W 8TH ST # C126
JACKSONVILLE, FL 32209
Duval County (904) 244-5946
DR. NICOLAS GIUSTI MD
Student in an Organized Health Care Education/Training Program
655 W 8TH ST # C126
JACKSONVILLE, FL 32209
Duval County (904) 244-8203
BLAKE HAMIL
Student in an Organized Health Care Education/Training Program
655 W 8TH ST # C126
JACKSONVILLE, FL 32209
Duval County (904) 383-1010
DR. JONATHAN ARIAS MD
Student in an Organized Health Care Education/Training Program
655 W 8TH ST # C126
JACKSONVILLE, FL 32209
Duval County (904) 244-5946
JAYANTH KUMAR MD
Orthopaedic Surgery
655 W 8TH ST # C126
JACKSONVILLE, FL 32209
Duval County (904) 244-3831

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 John Mickley's NPI number?

The NPI number for John Mickley is 1346945086. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is John Mickley located?

John Mickley practices at 655 W 8th St # C126, Jacksonville, FL 32209. The listed phone number is (904) 244-3831.

What is John Mickley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Mickley enrolled in Medicare?

Yes. John Mickley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Mickley was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.