Individual provider Active NPI

Elizabeth Ann Micks, MD, MPH

  • Obstetrics Physician
  • Arcata, CA
National Provider Identifier
1144405119
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
A101359 Issued in CA
Practice address
770 10TH St
Arcata, CA 95521-6210
Phone
(707) 630-5177
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X A101359 CA Primary

Addresses

Primary practice location

770 10TH St
Arcata, CA 95521-6210

Mailing address

770 10TH St
Arcata, CA 95521-6210
Phone (707) 825-7588

Other identifiers 2

IdentifierTypeStateIssuer
0293831OtherL&I
1144405119MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018003774 CA Practitioner - Obstetrics/Gynecology 6800926809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1150 Foster Ave
Arcata, CA 95521-5986
Phone (707) 826-8610

2426 Buhne St
Eureka, CA 95501-3207
Phone (707) 442-4038

3770 Janes Rd
Arcata, CA 95521-4744
Phone (707) 825-7588

38883 Hwy 299
Willow Creek, CA 95573-0726
Phone (530) 629-3111

770 10TH St
Arcata, CA 95521-6210
Phone (707) 826-8610

785 18TH St
Arcata, CA 95521-5683
Phone (707) 822-2481

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A101359CAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Community Health Centers Obstetrics Current Accepting new patients
Planned Parenthood Shasta Diablo Inc Current Accepting new patients
Open Door Community Health Centers Obstetrics Current Accepting new patients
Open Door Community Health Centers CurrentSince Aug 15, 2023 Accepting new patients
Open Door Community Health Centers Obstetrics Current Accepting new patients
Planned Parenthood Shasta Diablo Inc CurrentSince May 13, 2024 Accepting new patients
Planned Parenthood Shasta Diablo Inc CurrentSince May 13, 2024 Accepting new patients
Open Door Community Health Centers CurrentSince Aug 15, 2023 Accepting new patients
University of Washington Past Accepting new patients
Fred Hutchinson Cancer Center Past Accepting new patients
Harborview Meical Center Past Accepting new patients
Planned Parenthood: Shasta-Diablo, Inc. Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

785 18th St
Arcata, CA 95521
Phone (707) 822-2481

770 10th St
Arcata, CA 95521
Phone (707) 826-8610

1275 8th St
Arcata, CA 95521

3770 Janes Rd
Arcata, CA 95521
Phone (707) 822-2404

3100 Cohasset Rd
Chico, CA 95973
Phone (530) 342-2949

2185 Pacheco St
Concord, CA 94520
Phone (925) 676-0300

550 E Washington Blvd
Crescent City, CA 95531
Phone (707) 465-4636

2350 Buhne St
Ste A
Eureka, CA 95501
Phone (707) 443-4593

2200 Tydd St
Eureka, CA 95501
Phone (707) 269-7051

1644 Central Ave
McKinleyville, CA 95519
Phone (707) 839-3068

2970 Hilltop Mall Rd
Ste 307
Richmond, CA 94806
Phone (510) 222-5290

Interoperability endpoints

  • Direct secure messaging: elizabeth.micks.p1@direct.crc-fwhc.nextgenshare.com
  • Direct secure messaging: emicks592757@direct.ochin.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1144405119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 10TH ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216210",
            "telephone_number": "707-825-7588",
            "fax_number": "707-630-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 10TH ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216210",
            "telephone_number": "707-630-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKS",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A101359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0293831",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144405119",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.