LISA MARIE MICKELSON RN, FNP
NPI 1427831130
Nurse Practitioner - Family in Fishers, IN

Q: What is Lisa Mickelson's NPI number?

The NPI number for Lisa Mickelson is 1427831130. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Q: What is Lisa Mickelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Mickelson was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 16, 2023PECOS Enrolled

11700 OLIO RD, FISHERS, IN 46037(317) 436-4950 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lisa Marie Mickelson Rn, Fnp NPPES

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

LISA MARIE MICKELSON RN, FNP (NPI 1427831130) is an individual family provider in Fishers, Indiana, licensed in Indiana (71014309A) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427831130

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA MARIE MICKELSONCredential: RN, FNP

Location Address11700 OLIO RDFishers, IN 46037-7618

Mailing Address2620 Elm Hill PikeNashville, TN 37214-3108

Phone(317) 436-4950

Sole ProprietorNo

Enumeration DateAugust 16, 2023

Last NPPES UpdateJanuary 29, 2024

NPPES CertifiedJanuary 29, 2024

✔ NPI 1427831130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71014309A

11700 OLIO RD, Fishers, IN 46037

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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)

Lisa Marie Mickelson Rn, Fnp 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 46037 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 12

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

KAYLYN ALISHA-CHRISTINA BROWN PA-C

Physician Assistant (Medical)