Scot Mickelson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13730 Issued in ND

Practice address

3318 N 14TH St
Bismarck, ND 58503-1614

Phone

(701) 323-8870

Fax

(701) 323-8305

NPI assigned

Jul 10, 2013

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

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Kansas City University of Physicians and Surgeons, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford BismarckGroup PAC ID 9739098575, 562 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caringedge Healthcare of Minot Home health agency, Minot, ND, CCN 357305
• Sanford Home Care - HHA Home health agency, Mandan, ND, CCN 357029
• Ethos Home Health Home health agency, Fargo, ND, CCN 357302
• Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015
• CHI St Alexius Health Hospital, Bismarck, ND, CCN 350002

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Sanford Bismarck

  dba Family Wellness

  • Multi-Specialty Clinic/Center
  • Bismarck, ND
  • NPI 1811941172

  Family Medicine

  Medicare reassignment Care Compare group NPD
• St. Alexius Medical Center

  dba CHI St. Alexius Health Clinics

  • Specialist
  • Bismarck, ND
  • NPI 1205868429
  Medicare reassignment NPD
• Sanford Bismarck

  dba Sanford Health Occupational Medicine Clinic

  • Occupational Medicine Clinic/Center
  • Dickinson, ND
  • NPI 1669524351
  NPD
• St Alexius Medical Center

  dba CHI St. Alexius Health

  • Home Infusion Therapy Pharmacy
  • Bismarck, ND
  • NPI 1063663607
  NPD

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

• Bek Care, LLC

  dba Ethos Home Health

  • Home Health Agency
  • Fargo, ND
  • NPI 1043636723
  Care Compare affiliation
• Caringedge Healthcare of Minot LLC

  • Home Health Agency
  • Minot, ND
  • NPI 1669907291
  Care Compare affiliation
• Sanford Bismarck

  dba Sanford MRI Center

  • General Acute Care Hospital
  • Bismarck, ND
  • NPI 1538245634
  Care Compare affiliation
• Sanford Bismarck

  dba Sanford Home Care

  • Home Health Agency
  • Mandan, ND
  • NPI 1669555744
  Care Compare affiliation
• St. Alexius Medical Center

  dba CHI St. Alexius Health

  • General Acute Care Hospital
  • Bismarck, ND
  • NPI 1306832654
  Care Compare affiliation

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1902247703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 N 14TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031614",
            "telephone_number": "701-323-8870",
            "fax_number": "701-323-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKELSON",
        "first_name": "SCOT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "13730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1468482",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Rudolph Michaelson, DDS
• Angie Marie Michel
• Micil LLC (MICIL Health Services)
• Micil LLC (MICIL Health Services)
• David Mickelson, MS/LAC
• Mid Dakota Clinic Mammography
• Mid Dakota Clinic Worklife
• Mid Dakota Clinic, Inc.
• Mid Dakota Clinic, Inc.
• Mid Dakota Clinic, Inc.

• Family Medicine Physician in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Family Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.