NPPES file of Aug 9, 2026

Tracy D. Mickelsen, CSFA

Surgical Physician Assistant · Meridian, ID

Tracy D. Mickelsen, CSFA is a surgical physician assistant with a practice address in Meridian, Idaho, and NPI 1801073655, issued on Jan 23, 2008. Check the license (Idaho 178692, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1801073655
Name
Tracy D. Mickelsen
Credential
CSFA
Primary taxonomy
Surgical Physician Assistant 363AS0400X
License number
178692 ID
Self-reported in NPPES; status is on the state search
Practice location
3015 E Magic View Dr, Meridian, ID 83642
Phone
(208) 855-2410
Enumerated
Jan 23, 2008
Record last updated
Dec 7, 2017 (not updated in 9 years: call before relying on the address or phone)
Fax
(208) 482-5515
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 3015 E Magic View Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Brent Kooy, P.A.Medical Physician Assistant1033261458
  2. Jennifer Lucas, PA-CPhysician Assistant1356893549
  3. Matti PartchPhysician Assistant1851932057
  4. April West, P.A.Physician Assistant1801073143

Verify Tracy D. Mickelsen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this profession
    Search for license 178692
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Idaho license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Industry payments in 2024: $258.42

1 payment: food and beverage; the largest payer was Miach Orthopaedics, Inc. The 7,578 providers of this specialty with any payment received $703.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Tracy Mickelsen$258.42
  2. Specialty average$703.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Tracy D. Mickelsen among 89 surgical physician assistant records in Idaho

Tracy D. Mickelsen, CSFA is one of 89 surgical physician assistant records with a practice address in Idaho. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 33% of them.

  • NPI issued2008 · 33% of these records are older, 64% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileNo · 81% of these records are
  • Record last updated2017 · 39% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Surgical Physician Assistant providers in Idaho

There are 89 surgical physician assistant records in Idaho.

The 8 surgical physician assistant records with the nearest ZIP codes

  1. William Curtis, O.P.A.-CMeridian, ID 836421093853871
  2. Don Curtis, CSFAMeridian, ID 836421982937066
  3. Nicole Funk, PA-CMeridian, ID 836421669002721
  4. Lauren Galligar, PA-CMeridian, ID 836421245789536
  5. Shannon Gardiner, PAMeridian, ID 836421689701260
  6. Claire Magnolo, PA-CMeridian, ID 836421003869355
  7. Judson Mead, PAMeridian, ID 836421770213761
  8. Anne PetersonMeridian, ID 836421447688312

Common questions

What is Tracy D. Mickelsen, CSFA's NPI number?

Tracy D. Mickelsen, CSFA's National Provider Identifier (NPI) is 1801073655, issued on Jan 23, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Tracy D. Mickelsen, CSFA located?

The NPPES record lists a practice address at 3015 E Magic View Dr, Meridian, ID, 83642. Phone: (208) 855-2410. Providers update this record themselves, so call before visiting.

How can I verify Tracy D. Mickelsen, CSFA's license?

NPPES lists Idaho license number 178692, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.