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NATALIE NICOLE MIKKELSON SLP/CCC
NPI 1679886543
Speech-Language Pathologist in Tampa, FL

Active since July 21, 2010
4202 E FOWLER AVE STOP PCD1017, TAMPA, FL 33620(813) 974-2201 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Natalie Nicole Mikkelson Slp/ccc NPPES

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

NATALIE NICOLE MIKKELSON SLP/CCC (NPI 1679886543) is an individual speech-language pathologist provider in Tampa, Florida, licensed in Florida (SA11318) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1679886543
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameNATALIE NICOLE MIKKELSONCredential: SLP/CCC
Location Address4202 E FOWLER AVE STOP PCD1017Tampa, FL 33620-7250
Mailing AddressPo Box 917770Orlando, FL 32891-0001
Phone(813) 974-2201
Sole ProprietorNo
Enumeration DateJuly 21, 2010
Last NPPES UpdateAugust 29, 2019
✔ NPI 1679886543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SA11318
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4202 E FOWLER AVE STOP PCD1017, Tampa, FL 33620
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Other Identifiers 2

Medicaid002313000FL
OtherY911WFL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natalie Nicole Mikkelson Slp/ccc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Natalie Mikkelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Service Association Inc
0.9 mi
Internal Medicine
13330 USF LAUREL DR, 6TH FLOOR
Tampa, FL 33612
  • Reassigned Medicare billing, Florida enrollment
  • 1,079 clinicians in this Medicare group
NPI 1245270164 (813) 974-2201

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

Other Providers at the Same Location NPPES 14

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

DR. VICTORIA ANN SANCHEZ AU.D.
Audiologist
4202 E FOWLER AVE STOP PCD1017
TAMPA, FL 33620
Hillsborough County (813) 974-8804
KELLI GORAJEC
Speech-Language Pathologist
4202 E FOWLER AVE STOP PCD1017
TAMPA, FL 33620
Hillsborough County (813) 974-9844
MELITZA PIZARRO M.S. CCC-SLP
Speech-Language Pathologist
4202 E FOWLER AVE STOP PCD1017
TAMPA, FL 33620
Hillsborough County (813) 821-8038
LESLIE CHIAVENTONE LOPEZ MS, CCC
Speech-Language Pathologist
4202 E FOWLER AVE STOP PCD1017
TAMPA, FL 33620
Hillsborough County (813) 974-9844
DR. JENNIFER JONES LISTER PH.D.
Audiologist
4202 E FOWLER AVE STOP PCD1017
TAMPA, FL 33620
Hillsborough County (813) 974-9712
WENDY L OLSEN SLP
Speech-Language Pathologist
4202 E FOWLER AVE STOP PCD1017
TAMPA, FL 33620
Hillsborough County (813) 974-2006
JANE BRADLEY SMART MS SLP
Speech-Language Pathologist
4202 E FOWLER AVE STOP PCD1017
TAMPA, FL 33620
Hillsborough County (813) 974-9844
HANNAH WILSON AU.D.
Audiologist
4202 E FOWLER AVE STOP PCD1017
TAMPA, FL 33620
Hillsborough County (813) 974-8804

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 Natalie Mikkelson's NPI number?

The NPI number for Natalie Mikkelson is 1679886543. It was assigned to this individual provider in the NPPES registry on July 21, 2010.

Where is Natalie Mikkelson located?

Natalie Mikkelson practices at 4202 E Fowler Ave Stop Pcd1017, Tampa, FL 33620. The listed phone number is (813) 974-2201.

What is Natalie Mikkelson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Natalie Mikkelson enrolled in Medicare?

Yes. Natalie Mikkelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Natalie Mikkelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Natalie Mikkelson reassigns Medicare benefits to University Medical Service Association Inc (Tampa, FL). The 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 Natalie Mikkelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Natalie Mikkelson accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Natalie Mikkelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Natalie Mikkelson was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.