Niklas Walter Mikelson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024190524 Issued in VA

Practice address

250 Memorial Dr Ste D
Luray, VA 22835-1000

Phone

(804) 586-4425

NPI assigned

Jun 24, 2024

Last updated

Aug 14, 2024By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Page Memorial Hospital IncGroup PAC ID 8426951203, 81 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Health Home Health Home health agency, Winchester, VA, CCN 497058
• Page Memorial Hospital, Inc Hospital, Luray, VA, CCN 491307
• Winchester Medical Center Hospital, Winchester, VA, CCN 490005
• Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nmikelson1101776@valleyhealth.direct-ci.com

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.

• Page Memorial Hospital, Inc.

  • Critical Access Hospital
  • Luray, VA
  • NPI 1326040684
  Medicare reassignment Care Compare group NPD
• Page Memorial Hospital, Inc.

  dba Valley Health Shenandoah Medical Associates

  • Rural Health Clinic/Center
  • Front Royal, VA
  • NPI 1083236970

  Family

  NPD
• Page Memorial Hospital Inc.

  dba Valley Health Page Memoiral Hospital Family & Internal Medicine

  • Rural Health Clinic/Center
  • Luray, VA
  • NPI 1649284613
  NPD (past)

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

• Page Memorial Hospital, Inc.

  • Critical Access Hospital
  • Luray, VA
  • NPI 1326040684
  Care Compare affiliation
• Sentara RMH Medical Center

  • General Acute Care Hospital
  • Harrisonburg, VA
  • NPI 1780694372
  Care Compare affiliation
• Winchester Medical Center

  dba Valley Health Home Health

  • Home Health Agency
  • Winchester, VA
  • NPI 1538142005
  Care Compare affiliation
• Winchester Medical Center

  • General Acute Care Hospital
  • Winchester, VA
  • NPI 1619928017
  Care Compare affiliation
• Winchester Medical Center

  dba Valley Health Laboratories

  • Clinical Medical Laboratory
  • Winchester, VA
  • NPI 1790024909

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1659115673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SHENANDALE DR",
            "city": "MCGAHEYSVILLE",
            "state": "VA",
            "postal_code": "228402148",
            "telephone_number": "804-586-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MEMORIAL DR STE D",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228351000",
            "telephone_number": "804-586-4425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Luray",
            "state": "VA",
            "postal_code": "228351016",
            "country_code": "US",
            "telephone_number": "540-743-2887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKELSON",
        "first_name": "NIKLAS",
        "middle_name": "WALTER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024190524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nmikelson1101776@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "135 Memorial Dr",
            "city": "Luray",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228351016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Heather Najjar

• Family Nurse Practitioner in Luray, VA
• Providers in Luray, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.