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JUSTIN RANDAL MICKEY PMHNP
NPI 1932467727
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since April 30, 2012PECOS EnrolledAccepts Medicare Assignment
2500 E VAN BUREN ST, PHOENIX, AZ 85008(602) 220-6078(602) 220-6293 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Randal Mickey Pmhnp NPPES

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

JUSTIN RANDAL MICKEY PMHNP (NPI 1932467727) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (TAP4472) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1932467727
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJUSTIN RANDAL MICKEYCredential: PMHNP
Location Address2500 E VAN BUREN STPhoenix, AZ 85008-6037
Mailing Address3420 E Clarendon AvePhoenix, AZ 85018-5758 · (480) 532-7765
Phone(602) 220-6078
Fax(602) 220-6293
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 30, 2012
✔ NPI 1932467727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · TAP4472
2500 E VAN BUREN ST, Phoenix, AZ 85008
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.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

Justin Randal Mickey Pmhnp 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.

PECOS PAC ID3577002161
PECOS Enrollment IDI20240910002640
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85008 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.

Other Providers at the Same Location NPPES 20

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

DR. TYRONE JOHN FAVIS II O.D.
Optometrist
2500 E VAN BUREN ST
PHOENIX, AZ 85008
Maricopa County (602) 559-4606
MARCUS ERNEST KONYI KOMETA
Nurse Practitioner (Psychiatric/Mental Health)
2500 E VAN BUREN ST
PHOENIX, AZ 85008
Maricopa County (602) 685-3100
JUDE CHIBUOGWU EJIM NP
Nurse Practitioner (Psychiatric/Mental Health)
2500 E VAN BUREN ST
PHOENIX, AZ 85008
Maricopa County (602) 685-3100
M AKRAM BHATTI M.D
Long Term Care Hospital
2500 E VAN BUREN ST
PHOENIX, AZ 85008
Maricopa County (602) 244-1331
DR. CHRISTINE LYNN JOHNSTON PSY.D.
Psychologist (Clinical)
2500 E VAN BUREN ST
PHOENIX, AZ 85008
Maricopa County (602) 220-6191
ANTONIO R DIMAANO M.D.
Family Medicine
2500 E VAN BUREN ST
PHOENIX, AZ 85008
Maricopa County (602) 685-3100
STATE OF ARIZONA STATE DEPT OF FINANCE
Psychiatric Hospital
2500 E VAN BUREN ST
PHOENIX, AZ 85008
Maricopa County (602) 220-6000
SERGIO BORIS CHAVEZ M.D.
Psychiatry & Neurology (Psychiatry)
2500 E VAN BUREN ST
PHOENIX, AZ 85008
Maricopa County (602) 220-6045

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 Justin Mickey's NPI number?

The NPI number for Justin Mickey is 1932467727. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Where is Justin Mickey located?

Justin Mickey practices at 2500 E Van Buren St, Phoenix, AZ 85008. The listed phone number is (602) 220-6078.

What is Justin Mickey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Justin Mickey enrolled in Medicare?

Yes. Justin Mickey 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 Justin Mickey accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Justin Mickey 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.

When was this NPI record last updated?

The NPPES record for Justin Mickey was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.