Individual provider Active NPI

Mikel Elizabeth Muse, DO

  • MOHS-Micrographic Surgery Physician
  • Vancouver, WA
National Provider Identifier
1639639339
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
OP61674158 Issued in WA
Practice address
2415 NE 134TH St Ste 107
Vancouver, WA 98686-3031
Phone
(971) 915-8573
Fax
(503) 362-8435
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X OP61674158 WA Primary
MOHS-Micrographic Surgery Physician 207ND0101X DO224737 OR
Dermatology Physician 207N00000X OP61674158 WA
Dermatology Physician 207N00000X DO224737 OR

Addresses

Primary practice location

2415 NE 134TH St Ste 107
Vancouver, WA 98686-3031

Mailing address

1793 13TH St SE
Salem, OR 97302-2541
Phone (503) 362-8385

Other practice location 1

831 NW Council Dr Ste 301
Gresham, OR 97030-3725
Phone (503) 661-2577 ext. 28385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OR, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230404000732 NC Practitioner - Dermatology 6901271055 Reassigns benefits to 1 organization
I20250701003789 OR Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 6901271055 Reassigns benefits to 1 organization
I20250731003977 WA Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 6901271055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians

Practice addresses (Care Compare)

2415 NE 134TH St
Suite 107
Vancouver, WA 98686-3031
Phone (866) 599-3376

831 NW Council Dr
Suite 301
Gresham, OR 97030-3725
Phone (503) 362-8385

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision27
Removal of skin lesions116
Removal of skin cancer158
Removal or shaving of skin growth1-10
Skin biopsy62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO224737ORMDMOHS-Micrographic Surgery Physician
OP61674158WAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Dermatology, P.a. CurrentSince Apr 1, 2023 Accepting new patients
Silver Falls Dermatology, LLC Dermatology CurrentSince Aug 1, 2025 Accepting new patients
Silver Falls Dermatology, LLC Mohs-Micrographic Surgery CurrentSince Aug 1, 2025 Accepting new patients
Atlantic Dermatology, PA Dermatology Past Accepting new patients
Anne Arundel Dermatology Affiliates PC Dermatology Past Accepting new patients

Locations

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

308 S Bennett St
Burgaw, NC 28425
Phone (910) 259-8001

417 Vance St
Fl 2
Clinton, NC 28328

4201 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 782-2152

5272 Ocean Hwy W
Shallotte, NC 28470
Phone (888) 501-5597

720 Jefferson St
Whiteville, NC 28472
Phone (910) 642-5832

1099 Medical Center Dr
Unit 200300
Wilmington, NC 28401

1099 Medical Center Dr
Ste 200
Wilmington, NC 28401

1390 Waverly Dr SE
Albany, OR 97322
Phone (541) 967-8385

375 Park Ave
Ste 5
Coos Bay, OR 97420
Phone (541) 267-7543

831 NW Council Dr
Ste 301
Gresham, OR 97030
Phone (503) 661-2577

904 SW Bay St
Newport, OR 97365
Phone (541) 683-2020

9755 SW Barnes Rd
Ste 450
Portland, OR 97225

1793 13th St SE
Salem, OR 97302
Phone 50336283851283

123 Fox Rd
Knoxville, TN 37922
Phone (865) 342-5811

1515 116th Ave NE
Ste 307
Bellevue, WA 98004
Phone (425) 999-2628

1106 Douglas St
Ste F
Longview, WA 98632
Phone (360) 636-4500

2415 NE 134th St
Ste 107
Vancouver, WA 98686
Phone (360) 576-3340

Interoperability endpoints

  • Direct secure messaging: mmuse1469424@direct.novanthealth.org
  • Direct secure messaging: memuse@aadermaffiliates.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1639639339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 13TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022541",
            "telephone_number": "503-362-8385",
            "fax_number": "503-362-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 NE 134TH ST STE 107",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863031",
            "telephone_number": "971-915-8573",
            "fax_number": "503-362-8435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 NW Council Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970303725",
            "country_code": "US",
            "telephone_number": "503-661-2577 x28385",
            "fax_number": "503-362-8435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSE",
        "first_name": "MIKEL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "OP61674158",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OR",
            "license": "DO224737",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "OP61674158",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "DO224737",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.