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MR. TRACY D. MICKELSEN CSFA
NPI 1801073655
Physician Assistant - Surgical in Meridian, ID

Active since January 23, 2008
3015 E MAGIC VIEW DR, MERIDIAN, ID 83642(208) 855-2410(208) 482-5515 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Tracy D. Mickelsen Csfa NPPES

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

MR. TRACY D. MICKELSEN CSFA (NPI 1801073655) is an individual surgical provider in Meridian, Idaho, licensed in Idaho (178692) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1801073655
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. TRACY D. MICKELSENCredential: CSFA
Location Address3015 E MAGIC VIEW DRMeridian, ID 83642-3743
Mailing Address3015 E Magic View DrMeridian, ID 83642-3743 · (208) 855-2410 · Fax (208) 482-5515
Phone(208) 855-2410
Fax(208) 482-5515
Sole ProprietorYes
Enumeration DateJanuary 23, 2008
Last NPPES UpdateDecember 7, 2017
✔ NPI 1801073655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in ID · 178692
3015 E MAGIC VIEW DR, Meridian, ID 83642
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Other Providers at the Same Location NPPES 6

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

BRENT D. KOOY P.A.
Physician Assistant (Medical)
3015 E MAGIC VIEW DR
MERIDIAN, ID 83642
Ada County (208) 482-5550
DIRECT ORTHOPEDIC CARE LLC
Orthopaedic Surgery
3015 E MAGIC VIEW DR, STE 115
MERIDIAN, ID 83642
Ada County (208) 321-4000
JENNIFER RAUN LUCAS PA-C
Physician Assistant
3015 E MAGIC VIEW DR
MERIDIAN, ID 83642
Ada County (208) 321-4000
ALLIED ORTHOPAEDICS, LLC
Orthopaedic Surgery
3015 E MAGIC VIEW DR, SUITE 120
MERIDIAN, ID 83642
Ada County (208) 855-2410
MRS. APRIL D. WEST P.A.
Physician Assistant
3015 E MAGIC VIEW DR
MERIDIAN, ID 83642
Ada County (208) 855-2410
MATTI PARTCH
Physician Assistant
3015 E MAGIC VIEW DR
MERIDIAN, ID 83642
Ada County (208) 321-4000

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 Tracy Mickelsen's NPI number?

The NPI number for Tracy Mickelsen is 1801073655. It was assigned to this individual provider in the NPPES registry on January 23, 2008.

Where is Tracy Mickelsen located?

Tracy Mickelsen practices at 3015 E Magic View Dr, Meridian, ID 83642. The listed phone number is (208) 855-2410.

What is Tracy Mickelsen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Tracy Mickelsen was last updated on December 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.