Leila Micklos, MS FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4724 Issued in AZ

Practice address

8415 N. Pima Rd
Suite 100
Scottsdale, AZ 85258-4509

Phone

(480) 661-4761

Fax

(480) 661-3990

NPI assigned

Apr 23, 2013

Last updated

Sep 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Orange Medical LLCGroup PAC ID 4284850553, 3 clinicians

Gateway Anesthesia and Pain Associates PLLCGroup PAC ID 0042314668, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CJDFDD/Endpoint/CJDFDD
• FHIR API: https://fhir4.healow.com/fhir/r4/DBBHBD/Endpoint/DBBHBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateway Anesthesia and Pain Associates PLLC

  • Pain Medicine Physician
  • Mesa, AZ
  • NPI 1710026125
  Medicare reassignment Care Compare group NPD
• Orange Medical LLC

  • Interventional Pain Medicine Physician
  • Chandler, AZ
  • NPI 1497178081
  Medicare reassignment Care Compare group NPD
• Jeffrey a. Copoloff, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Scottsdale, AZ
  • NPI 1225084627
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1033553854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584480",
            "telephone_number": "480-661-4761",
            "fax_number": "480-661-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 N. PIMA RD",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584509",
            "telephone_number": "480-661-4761",
            "fax_number": "480-661-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKLOS",
        "first_name": "LEILA",
        "credential": "MS FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Urgent Care Provider Network, LLC
• Ashley Michl, NP
• Abbriella Michols, LMSW
• Courtney Lenorea Mickelson Mongeon
• Rachel M Mickevich, ANP-BC
• Microspine PLC
• Midbar Medical Services LLC
• Erica Lynn Middlemiss, N.M.D.
• Courtney Alexandria Middleton, NMD
• Makenzie Lynn Middleton

• Family Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.