RILEY SUSAN MICKELSEN MD
NPI 1720665078
Student in an Organized Health Care Education/Training Program in Santa Clara, CA
About Riley Susan Mickelsen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RILEY SUSAN MICKELSEN MD (NPI 1720665078) is an individual student in an organized health care education/training program in Santa Clara, California and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2021).
NPPES Registry Identity
Specialties & Licenses
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
Riley Susan Mickelsen Md 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.
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.
SANTA CLARA, CA 95051
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 Riley Mickelsen's NPI number?
The NPI number for Riley Mickelsen is 1720665078. It was assigned to this individual provider in the NPPES registry on March 24, 2021.
Where is Riley Mickelsen located?
Riley Mickelsen practices at 700 Lawrence Expy, Santa Clara, CA 95051. The listed phone number is (408) 851-1000.
What is Riley Mickelsen's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Riley Mickelsen enrolled in Medicare?
Yes. Riley Mickelsen 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 Riley Mickelsen was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Riley Susan Mickelsen, MD · NPI 1720665078
Student in an Organized Health Care Education/Training Program provider in Santa Clara, California. Individual provider, active in the CMS NPPES registry since March 24, 2021.
## Identity
- **NPI:** 1720665078 (Entity type: Individual)
- **Enumerated:** March 24, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 700 LAWRENCE EXPY, Santa Clara, CA 95051-5173
- **Phone:** (408) 851-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Kansas School Of Med, class of 2021
## Record status
- **NPPES last updated:** March 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1720665078) · Data from the CMS NPPES public registry.