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MICAELA T THEISEN DNP, FNP-BC
NPI 1902158421
Nurse Practitioner - Family in Chinle, AZ

Active since October 08, 2012PECOS Enrolled
HWY 191 AND HOSPITAL DRIVE, CHINLE, AZ 86503(928) 674-7090 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2024, Jan 16, 2023, Jan 13, 2023 and 1 more (4 updates tracked since 2019).

About Micaela T Theisen Dnp, Fnp-bc NPPES

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

MICAELA T THEISEN DNP, FNP-BC (NPI 1902158421) is an individual family provider in Chinle, Arizona, licensed in Washington (AP60577678) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1902158421
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICAELA T THEISENCredential: DNP, FNP-BC
Location AddressHWY 191 AND HOSPITAL DRIVEChinle, AZ 86503
Mailing Address945 E 42nd AveSpokane, WA 99203-6201 · (509) 202-8109 · Fax (856) 686-5218
Phone(928) 674-7090
Sole ProprietorNo
Enumeration DateOctober 8, 2012
Last NPPES UpdateMay 16, 20244 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1902158421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP60577678
Also ListedEmergency MedicineTaxonomy 207P00000X · License AP60577678 (WA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License NP-1523A (ID), AP60577678 (WA)
HWY 191 AND HOSPITAL DRIVE, Chinle, AZ 86503
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Secondary Practice Locations 3

Location 1801 E Wheeler RdMoses Lake, WA 98837-1820 · Phone (509) 793-9730
Location 216251 Sylvester Rd SWBurien, WA 98166-3017 · Phone (206) 248-4604
Location 3Hwy 191 and Hospital DriveChinle, AZ 86503 · Phone (928) 674-7090

Other Identifiers 1

Medicaid2047222WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Micaela T Theisen Dnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
114 services112 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
112 services110 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
82 services78 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
37 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers15 claims15 services$18.69 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers27 claims27 services$88.36 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$34.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. SAYUMI DE SILVA M.D.
Internal Medicine
HWY 191 AND HOSPITAL DRIVE, CHINLE COMPREHENSIVE CARE FACILITY
CHINLE, AZ 86503
Apache County (928) 674-7166
MRS. ALINA HALL RD
Dietitian, Registered
HWY 191 AND HOSPITAL DRIVE
CHINLE, AZ 86503
Apache County (928) 674-7166
INDIAN HEALTH SERVICES
Special Hospital
HWY 191 AND HOSPITAL DRIVE, CHINLE HOSPITAL
CHINLE, AZ 86503
Apache County (928) 674-7001

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 Micaela Theisen's NPI number?

The NPI number for Micaela Theisen is 1902158421. It was assigned to this individual provider in the NPPES registry on October 8, 2012.

Where is Micaela Theisen located?

Micaela Theisen practices at Hwy 191 And Hospital Drive, Chinle, AZ 86503. The listed phone number is (928) 674-7090.

What is Micaela Theisen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Micaela Theisen enrolled in Medicare?

Yes. Micaela Theisen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Micaela Theisen was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.