Michael Scott Mickelsen, CRNA
NPI 1275838021ActiveIndividual· Nurse Anesthetist, Certified Registered· Boise, ID
Nurse Anesthetist, Certified Registered (CRNA) with St Alphonsus Professional Medical Services LLC and 1 other group, practicing in Boise, Idaho. Medicare paid $22,770 for services to 112 patients in 2024. Pacira Pharmaceuticals Incorporated reported $20.92 in payments in 2024, mostly food and beverage. Lists Eastern Idaho Regional Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1275838021 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jan 25, 2011 |
| Last updated in NPPES | Jan 25, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | RNA-783 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 112 |
|---|---|
| Services billed | 127 across 40 procedure codes |
| Paid by Medicare | $22,770 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- St Alphonsus Professional Medical Services LLCBoise, ID · 124 clinicians
- Intermountain Anesthesia PAIdaho Falls, ID · 26 clinicians
Hospital affiliations
- Eastern Idaho Regional Medical CenterIdaho Falls, ID
- Saint Alphonsus Medical Center - NampaNampa, ID
- Saint Alphonsus Regional Medical CenterBoise, ID
Industry payments (Open Payments)
- 2024$20.92 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Pacira Pharmaceuticals Incorporated | $20.92 | 1 |
What the 2024 payments were for
- Food and Beverage$20.92 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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