Doctor profile · Federal record
Dr. RILEE MICKELSEN, PA-C
Surgical Physician Assistant (CMS: PHYSICIAN ASSISTANT) · Medical Physician Assistant · Surgical Physician Assistant · BOISE, ID
- NPI 1770346835
- Accepts Medicare
- 3 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1072 N LIBERTY ST STE 201
BOISE, ID 837048708
(208) 302-2400
fax (208) 302-2455 - Additional location
-
111 S 11th St Ste 8290
Philadelphia, PA 191074824
(215) 955-6161 - Mailing address
-
PO BOX 190930
BOISE, ID 837190930
Credentials & registration
- NPI registered
- February 2024 — 2 yrs on file
- Profile last updated
- September 3, 2024
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State licenses (2)
- Idaho #8061671 · Pennsylvania #MA065365
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770346835. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$132
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABIOMED | 2 | $86.17 | |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | 1 | $25.82 | |
| La Jolla Pharmaceutical Company | 1 | $20.37 |