Lisa Marie Mickelson, RN, FNP in Fishers, IN - Medicare Nurse Practitioner

Lisa Marie Mickelson, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fishers, Indiana. Her current practice location is 11700 Olio Rd, Fishers, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 436-4950.

Lisa Marie Mickelson is licensed to practice in Indiana (license number 71014309A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427831130.

Contact Information

	Lisa Marie Mickelson, RN, FNP
	11700 Olio Rd, Fishers, IN 46037-7618
	(317) 436-4950
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Marie Mickelson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11700 Olio Rd, Fishers, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427831130
Provider Enumeration Date: 08/16/2023
Last Update Date: 01/29/2024

Medicare PECOS Information:

PECOS PAC ID: 9032573605
Enrollment ID: I20230914003542

Medical Identifiers

Medical identifiers for Lisa Marie Mickelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427831130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71014309A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa Marie Mickelson allows following entities to bill medicare on her behalf.

Entity Name	Riverview Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609074921 PECOS PAC ID: 1153216627 Enrollment ID: O20040216000572

Entity Name	Little Clinic Of In Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558791384 PECOS PAC ID: 7719118447 Enrollment ID: O20140324000324

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Marie Mickelson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lisa Marie Mickelson, RN, FNP 2620 Elm Hill Pike, Nashville, TN 37214-3108 Ph: () -	Lisa Marie Mickelson, RN, FNP 11700 Olio Rd, Fishers, IN 46037-7618 Ph: (317) 436-4950

Reviews and Comments

Nurse Practitioner Nurses in Fishers, IN

Mrs. Amanda Rebecca Lucke, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11501 Cumberland Rd Ste 500, Fishers, IN 46037 Phone: 317-863-9300 Fax: 317-863-9333
Deborah L Schutz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8890 E 116th St, Suite 300, Fishers, IN 46038 Phone: 317-621-1500 Fax: 317-621-1509
Courtney Joy Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9795 E 116th St, Fishers, IN 46037 Phone: 317-913-8100
Nieasha Lanise Richardson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9894 E 121st St, Fishers, IN 46037 Phone: 317-621-2273 Fax: 317-806-1653
Melissa Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10546 Greenway Dr, Fishers, IN 46037 Phone: 317-437-7453
Rachael Lauren Hartley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8890 E 116th St Ste 130, Fishers, IN 46038 Phone: 317-621-7030
Sarah Jayroe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8890 E 116th St Ste 130, Fishers, IN 46038 Phone: 317-621-7030

Lisa Marie Mickelson, RN, FNP - Medicare Nurse Practitioner in Fishers, IN