MICHAEL ANTHONY KALLSEN FNP-BC
NPI 1730072901
Nurse Practitioner - Family in Ganado, AZ
About Michael Anthony Kallsen Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL ANTHONY KALLSEN FNP-BC (NPI 1730072901) is an individual family provider in Ganado, Arizona, licensed in Idaho (3971257) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
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
Michael Anthony Kallsen Fnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Michael Kallsen's NPI number?
The NPI number for Michael Kallsen is 1730072901. It was assigned to this individual provider in the NPPES registry on May 29, 2025.
Where is Michael Kallsen located?
Michael Kallsen practices at 191 Az-264, Ganado, AZ 86505. The listed phone number is (509) 703-0262.
What is Michael Kallsen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Michael Kallsen enrolled in Medicare?
Yes. Michael Kallsen 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 Michael Kallsen was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Michael Anthony Kallsen, FNP-BC · NPI 1730072901
Family physician in Ganado, Arizona. Individual provider, active in the CMS NPPES registry since May 29, 2025.
## Identity
- **NPI:** 1730072901 (Entity type: Individual)
- **Enumerated:** May 29, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3971257 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 191 AZ-264, Ganado, AZ 86505
- **Phone:** (509) 703-0262
## 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:** Other, class of 2025
## Record status
- **NPPES last updated:** May 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1730072901) · Data from the CMS NPPES public registry.