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CARRIE DENISE MIKKELSON-HEREDIA CRNA
NPI 1649345760
Nurse Anesthetist, Certified Registered in Beverly Hills, CA

Active since November 22, 2006Accepts Medicare Assignment
450 N ROXBURY DR, SUITE 600, BEVERLY HILLS, CA 90210(310) 651-2280(310) 651-2260 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carrie Denise Mikkelson-heredia Crna NPPES

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

CARRIE DENISE MIKKELSON-HEREDIA CRNA (NPI 1649345760) is an individual nurse anesthetist, certified registered in Beverly Hills, California, licensed in California (3288) and active in the NPI registry since November 2006. She is a graduate of University Of Southern California Keck School Of Medicine (2005).

NPPES Registry Identity

NPI1649345760
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameCARRIE DENISE MIKKELSON-HEREDIACredential: CRNA
Location Address450 N ROXBURY DR, SUITE 600Beverly Hills, CA 90210-4232
Mailing Address450 N Roxbury Dr, Suite 600Beverly Hills, CA 90210-4232 · (310) 651-2280 · Fax (310) 651-2260
Phone(310) 651-2280
Fax(310) 651-2260
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2005
Enumeration DateNovember 22, 2006
Last NPPES UpdateJuly 16, 2015
✔ NPI 1649345760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 3288
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

450 N ROXBURY DR, Beverly Hills, CA 90210
Open in Google Maps ↗

Other Identifiers 3

Other3288CA · Nurse Anesthetist
Other074093CA · Ccna Certification
Other508419CA · State License Nurse

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

Carrie Denise Mikkelson-heredia Crna 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 ID8729163159
PECOS Enrollment IDI20080310000683

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for extensive surgery on spine 00670
Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.
36 services34 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
24 services23 patients
Injection of anesthetic agent and/or steroid into other nerve or branch 64450
This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90210 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 20

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

DEBORAH J FRUTKIN CRNA
Nurse Anesthetist, Certified Registered
450 N ROXBURY DR, SUITE 600
BEVERLY HILLS, CA 90210
Los Angeles County (310) 651-2280
90210 SURGERY MEDICAL CENTER, LLC
Clinic/Center (Ophthalmologic Surgery)
450 N ROXBURY DR, SUITE 600
BEVERLY HILLS, CA 90210
Los Angeles County (310) 651-2280
MR. ROBERT A OLSON CRNA, M.S
Nurse Anesthetist, Certified Registered
450 N ROXBURY DR, SUITE 600
BEVERLY HILLS, CA 90210
Los Angeles County (310) 651-2280
KERRY K. ASSIL, M.D., INC.
Ophthalmology
450 N ROXBURY DR, THIRD FLOOR
BEVERLY HILLS, CA 90210
Los Angeles County (310) 453-8911
LALEH AMAYA CRNA
Nurse Anesthetist, Certified Registered
450 N ROXBURY DR, SUITE 600
BEVERLY HILLS, CA 90210
Los Angeles County (310) 651-2280
CARMEN VICTORIA LOPEZ CRNA
Nurse Anesthetist, Certified Registered
450 N ROXBURY DR, THIRD FLOOR
BEVERLY HILLS, CA 90210
Los Angeles County (310) 453-8911
A R T REPRODUCTIVE CENTER, INC.
Clinical Medical Laboratory
450 N ROXBURY DR, SUITE 520
BEVERLY HILLS, CA 90210
Los Angeles County (310) 246-4621
BEVERLY HILLS ANESTHESIA GROUP, INC.
Nurse Anesthetist, Certified Registered
450 N ROXBURY DR, SUITE 600
BEVERLY HILLS, CA 90210
Los Angeles County (310) 651-2280

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 Carrie Mikkelson-heredia's NPI number?

The NPI number for Carrie Mikkelson-heredia is 1649345760. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Carrie Mikkelson-heredia located?

Carrie Mikkelson-heredia practices at 450 N Roxbury Dr Suite 600, Beverly Hills, CA 90210. The listed phone number is (310) 651-2280.

What is Carrie Mikkelson-heredia's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Carrie Mikkelson-heredia enrolled in Medicare?

Yes. Carrie Mikkelson-heredia 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 Carrie Mikkelson-heredia was last updated on July 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.