Rebecca Ann Mickel, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

202009740NP-PP Issued in OR

Practice address

22244 SW Nottingham CT
Sherwood, OR 97140-9816

Phone

(971) 940-2182

NPI assigned

Oct 23, 2020

Last updated

Oct 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1932708526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22244 SW NOTTINGHAM CT",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409816",
            "telephone_number": "971-940-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22244 SW NOTTINGHAM CT",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409816",
            "telephone_number": "971-940-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKEL",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202009740NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristela Corazon McAravey, DNP-FNP C
• Kathryn Marie McConkie
• Melissa McMurry, MA, LPC, CADC I
• Kelly Jo Medeiros-Wheeler, LCSW
• Alyssa Gabrielle Menle, LMT
• Hannah Mickelson, PA
• Lisa Middleton, LMT
• Patricia Eden Fernandez Millan, M.D.
• Tycie Leeann Monson, MS
• James R Morelli, DDS

• Nurse Practitioner in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.