Laura A Mickelson (NPI# 1518927839, PAC ID# 9830172766) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1518927839 |
| PAC ID by PECOS | 9830172766 |
| Professional Enrollment ID | I20040617000249 |
| Full Name | Laura A Mickelson |
| Organization Legal Name | NURSE ANESTHESIA SERVICES PA |
| Address |
4050 Coon Rapids Nwblvd Coon Rapids MN 55433-2522 |
| Phone Number | 7632366000 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1993 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 8628973435 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240196 | PHILLIPS EYE INSTITUTE |
| Address | Phone | Organization |
|---|---|---|
| 4050 Coon Rapids Nwblvd, Coon Rapids, MN 55433-2522 | 7632366000 | NURSE ANESTHESIA SERVICES PA |
| Organization Legal Name | NURSE ANESTHESIA SERVICES PA |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis H Kneller | Certified Registered Nurse Anesthetist | Nurse Anesthesia Services Pa | 550 Osborne Nerd, Fridley, MN 55432-2718 |
| Shawn E Wolk | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia Services Pa | 2215 Park Ave, Minneapolis, MN 55404-3711 |
| Cynthia L Bohun | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia Services Pa | 2215 Park Ave, Minneapolis, MN 55404-3711 |
| Carly J Felicetta | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia Services Pa | 2215 Park Ave, Minneapolis, MN 55404-3711 |
| Kathleen R Oconnor | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia Services Pa | 2215 Park Ave, Minneapolis, MN 55404-3711 |
| Terrance J Kaase | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia Services Pa | 2215 Park Ave, Minneapolis, MN 55404-3711 |
| Barry L Bennett | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia Services Pa | 2215 Park Ave, Minneapolis, MN 55404-3711 |
| Jeanne M Hendricks | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia Services Pa | 2215 Park Ave, Minneapolis, MN 55404-3711 |
| Susan A Tauzell | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia Services Pa | 2215 Park Ave, Minneapolis, MN 55404-3711 |
| Elizabeth T Wust | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia Services Pa | 2215 Park Ave, Minneapolis, MN 55404-3711 |
| Street Address |
4050 COON RAPIDS NWBLVD |
| City | COON RAPIDS |
| State | MN |
| Zip | 55433-2522 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark D Mcmillan | Diagnostic Radiology | Suburban Radiologic Consultants Ltd | 4050 Coon Rapids Nwblvd, Coon Rapids, MN 55433-2522 |
| Ryan W Dailey | Critical Care (intensivists) | Allina Health System | 4050 Coon Rapids Nwblvd, Coon Rapids, MN 55433-2522 |
| Linda S Goss | Certified Registered Nurse Anesthetist | Nurse Anesthesia Services Pa | 4050 Coon Rapids Nwblvd, Coon Rapids, MN 55433-2522 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle D Traynor | Chiropractic | Waypoint Minnesota PC | 3183 Northdale Blvd Nw, Suite 103, Coon Rapids, MN 55433-1756 |
| Craig A Schadow | Chiropractic | 3818 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2517 | |
| Stephanie Rae Walvatne | Nurse Practitioner | 3887 Coon Rapids Nwblvd, Coon Rapids, MN 55433-2518 | |
| George A Haikel | Urology | 3879 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | |
| Melanie A Ferguson | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| John A Kosiak | Radiation Oncology | Minneapolis Radiation Oncology Pa | 4030 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Joyce S Stewart | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Amber Galarowicz | Internal Medicine | Allina Health System | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Michael A Erickson | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Cassandra A Kumpel | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Find all physicians in zip 55433 | |||
| City | COON RAPIDS |
| Zip Code | 55433 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | COON RAPIDS + CERTIFIED REGISTERED NURSE ANESTHETIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.