NPI age
2 years
Enumerated 2024-02-01
● Active
Type 1 · Individual
Rilee Wong Mickelsen, PA-C
Mickelsen is 1 of 36 physician assistant providers in Boise and 1 of 97 in Idaho.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID, PA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-09-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 97 active physician assistant providers in Idaho.
NPI age
2 years
↓ 11 yr below median (13 yr)
State licenses
2 states
Top 76% — 23% of peers are multi-state
Subspecialties
1
In the 56% of peers with subspecialties
NPI lifetime · 2024 → 2026
2024-02Enumerated in NPPES
2024
2026
Where they practice
Practice location
1072 N Liberty St Ste 201
Boise, ID 837048708
Mailing address
Po Box 190930
Boise, ID 837190930
Additional practice locations
1 secondary location on file with NPPES.
Location 2
111 S 11th St Ste 8290
Philadelphia, PA 191074824
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantDefinition to come...
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 97 Physician Assistant providers in Idaho?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this provider
- 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.