Active NPI
Mickey Miqueli-Piazza, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10050055
- Practice address
- 13535 SW 72ND Ave Ste 170
Portland, OR 97223-8074 - Phone
- (971) 300-0654
- NPI assigned
- Aug 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN11040949 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11040949 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10050055 | OR | Primary |
Addresses
Primary practice location
13535 SW 72ND Ave Ste 170
Portland, OR 97223-8074
Mailing address
455 Deer Creek Lake Point South LN
Deerfield Beach, FL 33442-8462
Phone (561) 906-9066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Florida State University College of Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13535 SW 72ND Ave
Suite 170
Portland, OR 97223-8074
Phone (971) 300-0654
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11040949 | FL | MD | Acute Care Nurse Practitioner |
| 10050055 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Olsen MD LLC | Current | Accepting new patients | |
| Robert Olsen MD Washington PC | Current | Accepting new patients |
Locations
1925 NE Stucki Ave
Ste 270
Beaverton, OR 97006
250 NW Franklin Ave
Ste 204
Bend, OR 97703
9895 SE Sunnyside Rd
Ste F
Clackamas, OR 97015
1400 Executive Pkwy
Ste 250
Eugene, OR 97401
13535 SW 72nd Ave
Ste 170
Portland, OR 97223
Phone (303) 468-8018
833 SW 11th Ave
Ste 245
Portland, OR 97205
Phone (503) 442-6105
1547 NE 40th Ave
Ste B
Portland, OR 97232
Phone (855) 397-0197
2480 Liberty St NE
Ste 110
Salem, OR 97301
Phone (503) 371-1756
8501 E Mill Plain Blvd
Vancouver, WA 98664
Phone (360) 718-2346
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Portland, OR
- NPI 1902565930
-
- Psychiatry Physician
- Vancouver, WA
- NPI 1073331948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1104701366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 DEER CREEK LAKE POINT SOUTH LN",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334428462",
"telephone_number": "561-906-9066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13535 SW 72ND AVE STE 170",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238074",
"telephone_number": "971-300-0654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIQUELI-PIAZZA",
"first_name": "MICKEY",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-07",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN11040949",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11040949",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "10050055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.