Jessica Nichole Mickels, RNFA
Nurse Practitioner, Adult Health in Hannibal, MO. Individual provider (NPI-1).
NPI number1164066023
StatusActive
Last updated in NPPESNov 6, 2023
Details
- NPI
- 1164066023
- Entity type
- Individual (NPI-1)
- Name
- Jessica Nichole Mickels
- Credential
- RNFA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2019
- Certification date
- Nov 6, 2023
- Last updated
- Nov 6, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 2023040437 | MO | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | 2023040437 | MO | |
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | 2013025149 | MO | |
| 363LG0600X | Nurse Practitioner, Gerontology | 2023040437 | MO |
Practice location
6000 Hospital DrHannibal, MO 63401-6887
Phone 573-248-5115 · Fax 573-248-5196
Mailing address
Po Box 551Hannibal, MO 63401-0551
Phone 573-248-5115 · Fax 573-248-5196
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Other Adult Health Nurse Practitioner providers in Hannibal, MO
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