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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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

5

Medicare enrollment records show Carrie Mikkelson-heredia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Precision Anesthesia Group Inc
Same address
Specialist
450 N ROXBURY DRIVE, SUITE 240
Beverly Hills, CA 90210
  • Reassigned Medicare billing, California enrollment
  • 57 clinicians in this Medicare group
NPI 1205253929 (310) 651-2040
Tip Top Anesthesia Group Inc
1.8 mi
Licensed Practical Nurse
50 N LA CIENEGA BLVD, SUITE 203
Beverly Hills, CA 90211
  • Reassigned Medicare billing, California enrollment
  • 88 clinicians in this Medicare group
NPI 1508283698 (323) 988-0896
County Of Los Angeles
4.5 mi
Public Health, State or Local
2509 PICO BLVD
Santa Monica, CA 90405
  • Reassigned Medicare billing, California enrollment
  • 1,939 clinicians in this Medicare group
NPI 1235323080 (310) 998-3203
Sunset Anesthesia Group, A Professional Nursing Corporation
6.4 mi
Nurse Anesthetist, Certified Registered
13916 LA MAIDA ST
Sherman Oaks, CA 91423
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1932891678 (310) 775-1596
Allied Anesthesia Medical Group Inc
  • Reassigned Medicare billing, California enrollment
  • 420 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01938
This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.
51 services41 patients
Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance 01937
This procedure involves administering anesthesia to numb the neck or upper back area. This helps in carrying out procedures like injection, drainage, or aspiration on the spine or spinal cord. Imaging guidance is used to ensure accurate placement, enhancing safety and effectiveness.
30 services24 patients
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.
13 services13 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.

MARY BEVENS GOODMAN NP-C
Nurse Practitioner (Obstetrics & Gynecology)
450 N ROXBURY DR, SUITE #500
BEVERLY HILLS, CA 90210
Los Angeles County (310) 277-2393
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
LALEH AMAYA CRNA
Nurse Anesthetist, Certified Registered
450 N ROXBURY DR, SUITE 600
BEVERLY HILLS, CA 90210
Los Angeles County (310) 651-2280
PRECISION AMBULATORY SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
450 N ROXBURY DR, SUITE 250
BEVERLY HILLS, CA 90210
Los Angeles County (310) 651-2050
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
RACHEL BRODSKY PA-C
Physician Assistant (Surgical)
450 N ROXBURY DR
BEVERLY HILLS, CA 90210
Los Angeles County (310) 997-4884
BEVERLY HILLS HERNIA CENTER
Surgery
450 N ROXBURY DR, SUITE 224
BEVERLY HILLS, CA 90210
Los Angeles County (310) 358-5020
ROBERT PAUL ZIMMERMAN MD PROFESSIONAL CORPORATION
Radiology (Radiation Oncology)
450 N ROXBURY DR, SUITE 600
BEVERLY HILLS, CA 90210
Los Angeles County (310) 651-2050

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.

Which organizations bill Medicare for Carrie Mikkelson-heredia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Mikkelson-heredia reassigns Medicare benefits to 5 organizations: Precision Anesthesia Group Inc (Beverly Hills, CA), Tip Top Anesthesia Group Inc (Beverly Hills, CA), County Of Los Angeles (Santa Monica, CA), Sunset Anesthesia Group, A Professional Nursing Corporation (Sherman Oaks, CA) and Allied Anesthesia Medical Group Inc (CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carrie Mikkelson-heredia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carrie Mikkelson-heredia was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.