MR. TRACY D. MICKELSEN CSFA
NPI 1801073655
Physician Assistant - Surgical in Meridian, ID
NPI Status: Active since January 23, 2008
Contact Information
3015 E MAGIC VIEW DR
MERIDIAN, ID
ZIP 83642
Phone: (208) 855-2410
Fax: (208) 482-5515
- Individual
- Male
- Physician Assistant
- Surgical
About TRACY MICKELSEN
This page provides the complete NPI Profile along with additional information for Tracy Mickelsen, a provider established in Meridian, Idaho with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1801073655 assigned on January 2008. The practitioner's primary taxonomy code is 363AS0400X with license number 178692 (ID). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1801073655
- Provider Name
- MR. TRACY D. MICKELSEN CSFA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3015 E MAGIC VIEW DR MERIDIAN, ID 83642
- Location Phone
- (208) 855-2410
- Location Fax
- (208) 482-5515
- Mailing Address
- 3015 E MAGIC VIEW DR MERIDIAN, ID 83642
- Mailing Phone
- (208) 855-2410
- Mailing Fax
- (208) 482-5515
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-23-2008
- Last Update Date
- 12-07-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 178692
- License State
- ID
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1801073655, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801073655, enumerated as an "individual" on January 23, 2008.
The provider is located at 3015 E MAGIC VIEW DR MERIDIAN, ID 83642 and the phone number is (208) 855-2410.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
