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

Q: 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.

Q: 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.

Q: 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.

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: October 18, 2026.

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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

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Justin Mickey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alium Health LLC

11 mi

Internal Medicine

7425 E SHEA BLVD STE 107
Scottsdale, AZ 85260

Reassigned Medicare billing, Arizona enrollment
6 clinicians in this Medicare group

NPI 1619484037 (480) 750-0095

Alium Health

11 mi

Primary Care

7425 E SHEA BLVD STE 107B
Scottsdale, AZ 85260

Reassigned Medicare billing, Arizona enrollment
5 clinicians in this Medicare group

NPI 1376337774 (480) 750-0095

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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