Individual provider Active NPI

Tana J Mikkelson, PA

  • Physician Assistant
  • Bismarck, ND
National Provider Identifier
1891891214
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAC0216 Issued in ND
Practice address
310 N 9TH St
Bismarck, ND 58501-4515
Phone
(701) 946-7500
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAC0216 ND Primary

Addresses

Primary practice location

310 N 9TH St
Bismarck, ND 58501-4515

Mailing address

PO Box 1397
Bismarck, ND 58502-1397
Phone (701) 946-7500

Other names 1

  • Tana Ciavarella Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405000656 ND Practitioner - Physician Assistant 3779576046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bone and Joint Center PCGroup PAC ID 3173416880, 40 clinicians

Practice addresses (Care Compare)

310 N 9TH St
Bismarck, ND 58501-4515
Phone (701) 946-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.67 of 100Reported as group
Quality
80.89
Promoting interoperability
71
Improvement activities
40
Cost
75.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Dakota Surgery Center LLC CurrentSince Dec 9, 2025 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1002 18th Ave SE
Ste A
Minot, ND 58701

1002 18th Ave SE
Ste C
Minot, ND 58701
Phone (701) 857-6010

1002 18th Ave SE
Minot, ND 58701
Phone (215) 205-2610

Interoperability endpoints

  • Direct secure messaging: tanaciavarella@tbjpc.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1891891214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1397",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585021397",
            "telephone_number": "701-946-7500",
            "fax_number": "701-751-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 9TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014515",
            "telephone_number": "701-946-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKKELSON",
        "first_name": "TANA",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANA",
            "last_name": "CIAVARELLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.