NPI age
15 years
Enumerated 2011-01-25
● Active
Type 1 · Individual
Michael Scott Mickelsen, CRNA
Mickelsen is 1 of 227 nurse anesthetist, certified registered providers in Boise and 1 of 575 in Idaho.
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-01-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 575 active nurse anesthetist, certified registered providers in Idaho.
NPI age
15 years
≈ at median (15 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-01Enumerated in NPPES
2011
2026
Where they practice
Practice location
1055 N Curtis Rd
Boise, ID 837061309
Mailing address
413 N 4370 E
Rigby, ID 834424929
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Practice context
Part of a multi-provider practice. 378 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new nurse anesthetist, certified registered providers have been added in Boise in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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