DR. RACHEL LYNN MICKELSON PSYD
NPI 1447558168
Psychologist - Clinical in Mishawaka, IN

Q: What is Rachel Mickelson's NPI number?

The NPI number for Rachel Mickelson is 1447558168. It was assigned to this individual provider in the NPPES registry on March 3, 2011.

Q: What is Rachel Mickelson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Mickelson was last updated on June 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 03, 2011PECOS EnrolledAccepts Medicare Assignment

2410 GRAPE RD, STE 1, MISHAWAKA, IN 46545(574) 243-9370 Get Directions Write a Review

NPPES record last updated: June 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Rachel Lynn Mickelson Psyd NPPES

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

DR. RACHEL LYNN MICKELSON PSYD (NPI 1447558168) is an individual clinical provider in Mishawaka, Indiana, licensed in Indiana (20042493A) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1447558168

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. RACHEL LYNN MICKELSONCredential: PSYD

Location Address2410 GRAPE RD, STE 1Mishawaka, IN 46545-3015

Mailing Address2410 Grape Rd, Ste 1Mishawaka, IN 46545-3015 · (574) 243-9370 · Fax (574) 243-9375

Phone(574) 243-9370

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 3, 2011

Last NPPES UpdateJune 27, 2020

NPPES CertifiedJune 27, 2020

✔ NPI 1447558168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IN · 20042493A

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2410 GRAPE RD, Mishawaka, IN 46545

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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 and accepts Medicare assignment

Dr. Rachel Lynn Mickelson Psyd 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 ID9436416419

PECOS Enrollment IDI20171129001747

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 46545 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

$161.76 typical visit price

range $53.07 – $161.76

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

Most-billed visit code 99205

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 3

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

SLEEP WELL CENTERS, LLC

Clinic/Center (Sleep Disorder Diagnostic)

2410 GRAPE RD, SUITE 2
MISHAWAKA, IN 46545

St. Joseph County (888) 996-4319

AUDREY FLORA LCSW

Social Worker (Clinical)

2410 GRAPE RD
MISHAWAKA, IN 46545

St. Joseph County (574) 409-7671

ZITA MARIE DUFFY MSW, LISW-S, CSW

Social Worker (Clinical)

2410 GRAPE RD
MISHAWAKA, IN 46545

St. Joseph County (574) 217-0128

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 Rachel Mickelson's NPI number?

The NPI number for Rachel Mickelson is 1447558168. It was assigned to this individual provider in the NPPES registry on March 3, 2011.

Where is Rachel Mickelson located?

Rachel Mickelson practices at 2410 Grape Rd Ste 1, Mishawaka, IN 46545. The listed phone number is (574) 243-9370.

What is Rachel Mickelson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Rachel Mickelson enrolled in Medicare?

Yes. Rachel 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.

When was this NPI record last updated?

The NPPES record for Rachel Mickelson was last updated on June 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.