Active NPI
Steven Andrew Mickelson, F.N.P.
- Family Nurse Practitioner
- American Fork, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 309049-4405
- Practice address
- 895 N 900 E
American Fork, UT 84003-9183 - Phone
- (801) 763-4152
- Fax
- (801) 763-4571
- NPI assigned
- Aug 12, 2005
- Last updated
- Oct 1, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 309049-4405 | UT | Primary |
Addresses
Primary practice location
895 N 900 E
American Fork, UT 84003-9183
Mailing address
1565 N 180 W
Lehi, UT 84043-1159
Phone (801) 768-2635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
895 N 900
Utah State Developement Center
American Fork, UT 84003-9183
Phone (801) 763-4036
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Utah | Current | Accepting new patients | |
| Utah State Developmental Center | Current | Accepting new patients |
Locations
895 N 900 E
American Fork, UT 84003
Phone (801) 756-6022
150 E Center St
Ste 1100
Provo, UT 84606
Phone (801) 374-7011
168 N 1950 W
Ste 201
Slc, UT 84116
Phone (801) 213-2537
Organizations & group practices 2
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.
-
- Mental Illness Intermediate Care Facility
- American Fork, UT
- NPI 1689674301
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Utah Valley Hospital
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
dba Intermountain Health American Fork Hospital
- General Acute Care Hospital
- American Fork, UT
- NPI 1912014358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1881696466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 N 180 W",
"city": "LEHI",
"state": "UT",
"postal_code": "840431159",
"telephone_number": "801-768-2635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 N 900 E",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840039183",
"telephone_number": "801-763-4152",
"fax_number": "801-763-4571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKELSON",
"first_name": "STEVEN",
"middle_name": "ANDREW",
"credential": "F.N.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "309049-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.