RILEE WONG MICKELSEN PA-C
NPI 1770346835
Physician Assistant - Surgical in Boise, ID
About Rilee Wong Mickelsen Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RILEE WONG MICKELSEN PA-C (NPI 1770346835) is an individual surgical provider in Boise, Idaho, licensed in Idaho (8061671) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Rilee Wong Mickelsen Pa-c 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Alphonsus Regional Medical Center
Acute Care Hospitals · Boise, IDSaint Alphonsus Medical Center - Nampa
Acute Care Hospitals · Nampa, IDOther Providers at the Same Location NPPES 6
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 Rilee Mickelsen's NPI number?
The NPI number for Rilee Mickelsen is 1770346835. It was assigned to this individual provider in the NPPES registry on February 1, 2024.
Where is Rilee Mickelsen located?
Rilee Mickelsen practices at 1072 N Liberty St Ste 201, Boise, ID 83704. The listed phone number is (208) 302-2400.
What is Rilee Mickelsen's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Rilee Mickelsen enrolled in Medicare?
Yes. Rilee 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.
What insurance does Rilee Mickelsen accept?
Health plans from Moda Health Plan, Inc. list Rilee Mickelsen 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.
Is Rilee Mickelsen affiliated with any hospitals?
According to CMS data, Rilee Mickelsen is affiliated with Saint Alphonsus Regional Medical Center and Saint Alphonsus Medical Center - Nampa.
When was this NPI record last updated?
The NPPES record for Rilee Mickelsen was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Rilee Wong Mickelsen, PA-C · NPI 1770346835
Surgical physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since February 1, 2024.
## Identity
- **NPI:** 1770346835 (Entity type: Individual)
- **Enumerated:** February 1, 2024
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 8061671 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1072 N LIBERTY ST STE 201, Boise, ID 83704-8708
- **Phone:** (208) 302-2400 · **Fax:** (208) 302-2455
## 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 2023
## Record status
- **NPPES last updated:** September 3, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1770346835) · Data from the CMS NPPES public registry.