Active NPI
Rebekah Mickles, CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN597295
- Practice address
- 34TH Street and Civic Center Boulevard
Suite 9329
Philadelphia, PA 19104-4399 - Phone
- (215) 590-1858
- NPI assigned
- Jul 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN597295 | PA | Primary |
Addresses
Primary practice location
34TH Street and Civic Center Boulevard
Suite 9329
Philadelphia, PA 19104-4399
Mailing address
100 E Penn SQ
The Wanamaker Building, 9TH Floor, North
Philadelphia, PA 19107-3323
Phone (267) 425-9320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN597295 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Anesthesia Services PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Children's Anesthesiology Associates, LTD | Current | Accepting new patients | |
| Children's Anesthesiology Associates, LTD | Current | Accepting new patients | |
| Associates in Anesthesia, Inc. | Current | Accepting new patients | |
| Associates in Anesthesia | Past | Accepting new patients |
Locations
1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147
30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411
3 Crescent Dr
Ste 310
Philadelphia, PA 19112
Phone (267) 419-3600
324 S 34th St
Ste 9329
Philadelphia, PA 19104
Phone (215) 590-1867
100 E Penn Sq
Bldg 9TH
Philadelphia, PA 19107
Phone (267) 425-9538
3401 Civic Center Blvd
Ste 9329
Philadelphia, PA 19104
Phone (267) 425-9300
744 Lancaster Ave
Wayne, PA 19087
Phone (215) 244-7400
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1942281191
-
dba CAA Anesthesiology Services
- Pediatric Anesthesiology Physician
- Philadelphia, PA
- NPI 1689779480
-
- Anesthesiology Physician
- Wynnewood, PA
- NPI 1053366062
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1942213525
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1336470467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1619351020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E PENN SQ",
"address_2": "THE WANAMAKER BUILDING, 9TH FLOOR, NORTH",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073323",
"telephone_number": "267-425-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34TH STREET AND CIVIC CENTER BOULEVARD",
"address_2": "SUITE 9329",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044399",
"telephone_number": "215-590-1858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKLES",
"first_name": "REBEKAH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-15",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN597295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.