Rachel M Mickevich, ANP-BC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

AP7270 Issued in AZ

Practice address

10210 N 92ND St Ste 302
Scottsdale, AZ 85258-4525

Phone

(480) 718-9241

Fax

(480) 718-9248

NPI assigned

Apr 21, 2009

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 AZ

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

Credentials

Nurse Practitioner

State licenses

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.

• Jdoc LLC

  • Neurological Surgery Physician
  • Scottsdale, AZ
  • NPI 1801054143
  Medicare reassignment NPD
• Laser Skin Care PLLC

  • Specialist
  • Gastonia, NC
  • NPI 1396702619
  NPD (past)

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1992949093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST STE 302",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584525",
            "telephone_number": "480-718-9241",
            "fax_number": "480-718-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST STE 302",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584525",
            "telephone_number": "480-718-9241",
            "fax_number": "480-718-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKEVICH",
        "first_name": "RACHEL",
        "middle_name": "M",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "AP7270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Cotter Michie, APRN
• Michigan Urgent Care Provider Network, LLC
• Ashley Michl, NP
• Abbriella Michols, LMSW
• Courtney Lenorea Mickelson Mongeon
• Leila Micklos, MS FNP-BC
• Microspine PLC
• Midbar Medical Services LLC
• Erica Lynn Middlemiss, N.M.D.
• Courtney Alexandria Middleton, NMD

• Neurology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.