| Mickayla Nagel, | |
|
3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 | |
| (218) 681-4747 | |
| Not Available |
| Full Name | Mickayla Nagel |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 3001 Sanford Pkwy, Thief River Falls, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255018545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2907 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
| University Medical Center-mesabi/ Mesaba Clinics | Hibbing, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Duluth Clinic Ltd | 2567374283 | 957 |
| Sanford Health Network North | 8022206663 | 93 |
| Range Regional Health Services | 8022920024 | 255 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | Sanford Health Network North |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429 |
| Entity Name | Sanford Health Network North |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043218753 PECOS PAC ID: 8022206663 Enrollment ID: O20180222001872 |
| Entity Name | Essentia Health Moose Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200730001548 |
| Mailing Address | Practice Location Address |
|---|---|
| Mickayla Nagel, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Mickayla Nagel, 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 Ph: (218) 681-4747 |
Kent A Trontvet, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 Fax: 218-683-2595 | |
John H Imsande, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 Fax: 218-683-2595 | |
Brian A Aubin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-681-4240 Fax: 218-683-4512 | |
Mary C Macleod, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-681-4240 |