Doctor profile · Federal record
Dr. Tracy Mickelsen, CSFA
Surgical Physician Assistant · Meridian, ID
- NPI 1801073655
- 18 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3015 E Magic View Dr
Meridian, ID 836423743
(208) 855-2410
fax (208) 482-5515
Credentials & registration
- NPI registered
- January 2008 — 18 yrs on file
- Profile last updated
- December 7, 2017
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Idaho #178692
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1801073655. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$258
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Miach Orthopaedics, INC. | 1 | $258.42 |
By nature of payment
Frequently asked questions
What is Dr. Tracy Mickelsen's medical specialty?
Dr. Tracy Mickelsen practices Surgical Physician Assistant in Meridian, ID.
Where does Dr. Tracy Mickelsen practice?
Dr. Tracy Mickelsen practices at 3015 E Magic View Dr, Meridian, ID 836423743. Office phone: 2088552410.
What is Dr. Tracy Mickelsen's NPI?
Dr. Tracy Mickelsen's National Provider Identifier (NPI) is 1801073655, issued by NPPES.