Tina Renee Mickle, FNP-C in Chino Valley, AZ - Medicare Nurse Practitioner

Tina Renee Mickle, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Chino Valley, Arizona. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Yavapai Regional Medical Center Physician Care, Llc and her current practice location is 1934 N Hwy 89, Chino Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 404-1488.

Tina Renee Mickle is licensed to practice in Arizona (license number TAP10322) 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 1215450374.

Contact Information

	Tina Renee Mickle, FNP-C
	1934 N Hwy 89, Chino Valley, AZ 86323-5643
	(928) 404-1488
	(928) 636-3099

Map and Direction

Provider's Profile

Full Name	Tina Renee Mickle
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1934 N Hwy 89, Chino Valley, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tina Renee Mickle graduated from nursing school in 2017

NPI Data:

NPI Number: 1215450374
Provider Enumeration Date: 07/20/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3779857628
Enrollment ID: I20170915003136

Medical Identifiers

Medical identifiers for Tina Renee Mickle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215450374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	TAP10322 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Yavapai Regional Medical Center	Prescott, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Yavapai Regional Medical Center Physician Care, Llc	5294898987	119

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. Tina Renee Mickle allows following entities to bill medicare on her behalf.

Entity Name	Yavapai Regional Medical Center Physician Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798

Entity Name	Prescott Healthcare Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821454505 PECOS PAC ID: 4385940295 Enrollment ID: O20160302001795

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. Tina Renee Mickle 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 Address	Practice Location Address
Tina Renee Mickle, FNP-C 1934 N Hwy 89, Chino Valley, AZ 86323-5643 Ph: (928) 404-1488	Tina Renee Mickle, FNP-C 1934 N Hwy 89, Chino Valley, AZ 86323-5643 Ph: (928) 404-1488

Reviews and Comments

Nurse Practitioner Nurses in Chino Valley, AZ

Dianne A Tobin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 474 N Highway 89, Chino Valley, AZ 86323 Phone: 928-636-4355
Shannon Kay Jaramillo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1934 N State Route 89, Chino Valley, AZ 86323 Phone: 928-404-1488
Shelly Lynn Crossman, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 448 N State Route 89 Ste H, Chino Valley, AZ 86323 Phone: 928-499-2915 Fax: 877-406-3180
Ms. Jessica Renee Holman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1755 Roadrunner Ln, Chino Valley, AZ 86323 Phone: 928-848-7553
Kimberly Faun Bailey, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 448 N Hwy 89 Ste H, Chino Valley, AZ 86323 Phone: 928-636-3269
Belinda T Drake, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 474 N Highway 89, Chino Valley, AZ 86323 Phone: 928-636-5680 Fax: 928-636-5853

Tina Renee Mickle, FNP-C - Medicare Nurse Practitioner in Chino Valley, AZ