Brookanne J Mickelson, FNP-BC - Medicare Nurse Practitioner in St George, UT

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Brookanne J Mickelson, FNP-BC is a medicare enrolled "Nurse Practitioner" in St George, Utah. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dixie Palliative Care, Llc, Southwest Spine And Pain Care Specialists Llc and her current practice location is 301 N 200 E Ste 2a, St George, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 688-7246.

Brookanne J Mickelson is licensed to practice in Utah (license number 222657-4405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013916915.

Contact Information

Brookanne J Mickelson, FNP-BC
301 N 200 E Ste 2a,
St George, UT 84770-3040
(435) 688-7246
(435) 688-1363

Map and Direction




Provider's Profile

Full NameBrookanne J Mickelson
GenderFemale
SpecialityNurse Practitioner
Experience27 Years
Location301 N 200 E Ste 2a, St George, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brookanne J Mickelson graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1013916915
  • Provider Enumeration Date: 07/21/2005
  • Last Update Date: 02/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6800992041
  • Enrollment ID: I20070503000460

Medical Identifiers

Medical identifiers for Brookanne J Mickelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013916915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 222657-4405 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dixie Regional Medical CenterSt george, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dixie Palliative Care, Llc22648631338
Southwest Spine And Pain Care Specialists Llc640602004943

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brookanne J Mickelson allows following entities to bill medicare on her behalf.
Entity NameSouthwest Spine And Pain Care Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144509985
PECOS PAC ID: 6406020049
Enrollment ID: O20111117000308
Entity NameDixie Palliative Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780214734
PECOS PAC ID: 2264863133
Enrollment ID: O20200508000518
Entity NameMat Ventures Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467089607
PECOS PAC ID: 9335551241
Enrollment ID: O20201217002855

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brookanne J Mickelson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brookanne J Mickelson, FNP-BC
Po Box 912042,
St George, UT 84791-2042

Ph: (435) 656-2424		Brookanne J Mickelson, FNP-BC
301 N 200 E Ste 2a,
St George, UT 84770-3040

Ph: (435) 688-7246

Reviews and Comments


Nurse Practitioner Nurses in St George, UT

Mr. Brooks Wiley, FPMHNP-BC
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Practice Location: 230 N 1680 E Ste H1, St George, UT 84790
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Phone: 435-251-4900    
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Phone: 435-268-2363    Fax: 435-215-2563
Christopher Ray Andrew, NP
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Practice Location: 1380 E Medical Center Dr, St George, UT 84790
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Carole Ann Grady, NP
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Practice Location: 595 S Bluff St, St George, UT 84770
Phone: 435-674-9933    
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Phone: 435-986-2565    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.