DR. MIKAELA PICKERING DO
NPI 1366147654
Student in an Organized Health Care Education/Training Program in Boise, ID

Q: What is Mikaela Pickering's NPI number?

The NPI number for Mikaela Pickering is 1366147654. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Mikaela Pickering's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mikaela Pickering was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since April 04, 2023PECOS Enrolled

190 E BANNOCK ST, BOISE, ID 83712(208) 706-5437 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Mikaela Pickering Do NPPES

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

DR. MIKAELA PICKERING DO (NPI 1366147654) is an individual student in an organized health care education/training program in Boise, Idaho and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1366147654

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. MIKAELA PICKERINGCredential: DO

Location Address190 E BANNOCK STBoise, ID 83712-6241

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 706-5437

Phone(208) 706-5437

Sole ProprietorNo

Enumeration DateApril 4, 2023

Last NPPES UpdateJune 18, 2026

NPPES CertifiedJune 18, 2026

✔ NPI 1366147654 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.

190 E BANNOCK ST, Boise, ID 83712

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Secondary Practice Location 1

Location 1Msc10 5590 1 University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-2345 · Fax (505) 272-2374

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. Mikaela Pickering Do 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.

NORA M SUAREZ NP

Nurse Practitioner (Neonatal, Critical Care)