Joseph Edward Mickelson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5638A Issued in WY

Practice address

6500 E 2ND St
Suite 200
Casper, WY 82609-4338

Phone

(307) 577-5100

Fax

(307) 234-1201

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

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

Specialty

Family Practice

Education

Creighton University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Memorial Medical Group LLCGroup PAC ID 1254876683, 40 clinicians

Memorial Hospital of Converse CountyGroup PAC ID 2264340843, shared by 5 NPIs, 77 clinicians

Glenrock Hospital DistrictGroup PAC ID 8527976828, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Casper, WY, CCN 537044
• Caringedge Healthcare of Casper LLC Home health agency, Casper, WY, CCN 537086
• Casper Home Health LLC Home health agency, Casper, WY, CCN 537084
• Home and Care Home health agency, Casper, WY, CCN 537082
• Central Wyoming Hospice Program Hospice, Casper, WY, CCN 531501
• Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302
• Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
• Summit Medical Center Hospital, Casper, WY, CCN 530034
• Elkhorn Valley Rehabilitation Hospital LLC Inpatient rehabilitation facility, Casper, WY, CCN 533027
• Life Care Center of Casper Nursing home, Casper, WY, CCN 535049
• Casper Mountain Rehabilitation and Care Center Nursing home, Casper, WY, CCN 535024

Merit-based Incentive Payment System (MIPS)

Final score

76.85 of 100Reported as individual

Quality

57.91

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmickelson@yourcarecommunity.org

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.

• Glenrock Hospital District

  • Rural Health Clinic/Center
  • Glenrock, WY
  • NPI 1093758161
  Medicare reassignment Care Compare group NPD
• Placebo Ventures, LLC

  • Family Medicine Physician
  • Casper, WY
  • NPI 1245559012
  Medicare reassignment NPD Authorized official
• Summit Memorial Medical Group LLC

  • General Practice Physician
  • Casper, WY
  • NPI 1598469462
  Medicare reassignment Care Compare group NPD
• Memorial Hospital of Converse County

  • Critical Access Hospital
  • Douglas, WY
  • NPI 1326085408
  Medicare reassignment NPD
• Memorial Hospital of Converse County

  • General Practice Physician
  • Douglas, WY
  • NPI 1356496491
  Medicare reassignment NPD
• Glenrock Hospital District

  • Clinical Medical Laboratory
  • Glenrock, WY
  • NPI 1437294972
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Casper Home Health, LLC

  • Home Health Agency
  • Casper, WY
  • NPI 1336652452
  Care Compare affiliation
• Casper Operations, LLC

  • Skilled Nursing Facility
  • Casper, WY
  • NPI 1417498783

  Nursing home

  Care Compare affiliation
• Central Wyoming Hospice Program

  • Community Based Hospice Care Agency
  • Casper, WY
  • NPI 1295725976
  Care Compare affiliation
• Eh Health Home Health of the Northwest, LLC

  • Home Health Agency
  • Casper, WY
  • NPI 1619560471
  Care Compare affiliation
• Elkhorn Valley Rehabilitation Hospital LLC

  • Rehabilitation Hospital
  • Casper, WY
  • NPI 1326233586

  Inpatient rehabilitation facility

  Care Compare affiliation
• Epsilon Health Solutions LLC

  • Home Health Agency
  • Casper, WY
  • NPI 1437508975
  Care Compare affiliation
• Memorial Hospital of Converse County

  • Critical Access Hospital
  • Douglas, WY
  • NPI 1326085408
  Care Compare affiliation
• North Big Horn Hospital District

  • Skilled Nursing Facility
  • Casper, WY
  • NPI 1912879610

  Nursing home

  Care Compare affiliation
• Summit Medical Center, LLC

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1609297506
  Care Compare affiliation
• Wyoming Medical Center Inc

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1346332954
  Care Compare affiliation

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1467448043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 E 2ND ST",
            "address_2": "SUITE 200",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094338",
            "telephone_number": "307-577-5100",
            "fax_number": "307-234-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 E 2ND ST",
            "address_2": "SUITE 200",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094338",
            "telephone_number": "307-577-5100",
            "fax_number": "307-234-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKELSON",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "5638A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "315272",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Michael, LPC
• Tammy Lynn Michael, LCSW
• Loretta Ann Michaud
• Avery Ann Michel
• Brooke Noel Michelena, RN
• Rebeca Mickelson, RN
• Mike Romer, P.C.
• Ashley Renae Mikels, LCSW
• Amber Elese Milby, BS
• Miles Ahead Counseling

• Family Medicine Physician in Casper, WY
• Providers in Casper, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.