Micaela T Theisen

DNP, FNP-BC | Nurse Practitioner | 12+ years Exp

Hwy 191 And Hospital Drive, Chinle
  Arizona, 86503
928-674-7090
Accepts Medicare Nurse Anesthetist in Chinle, Arizona.
Micaela T Theisen is a Chinle, Arizona based nurse practitioner with 12 years of experience in . She completed her graduation from University Of Washington School Of Medicine in 2013. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Micaela T Theisen is AP60577678 for Family in Washington. Her current practice location is Hwy 191 And Hospital Drive, Chinle. Patients can reach her at 928-674-7090. Micaela T Theisen is DNP, FNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1902158421.
Micaela T Theisen has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Micaela T Theisen speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Micaela T Theisen
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: DNP, FNP-BC
Experience: 12+ years
Medical School Attended:University Of Washington School Of Medicine
Graduation Year:2013
Accepts Medicare Assignment:Yes
Practice Address:Hwy 191 And Hospital Drive, Chinle,
Arizona, 86503
Phone:928-674-7090
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 9830342369
Enrollment ID: I20150820010016
NPI Number: 1902158421
NPI Enumeration Date: 08 Oct, 2012
NPI Last Update On: 16 May, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Micaela T Theisen are as mentioned below.
License NumberSpecializationStateStatus
AP60577678Family WashingtonPrimary
AP60577678Emergency Medicine WashingtonSecondary
NP-1523ANurse Practitioner IdahoSecondary
AP60577678Nurse Practitioner WashingtonSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(500033)Moses lake, WAAcute Care Hospital
(530012)Casper, WYAcute Care Hospital
(030084)Chinle, AZAcute Care Hospital
(531312)Cody, WYCritical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Micaela T Theisen is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Grant County Public Hospital District 1 (9931095692)75
Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (9436062585)157
Hospitalist Medicine Physicians Of Wyoming - Casper, Llc (0648600239)35
Other Medical Identifiers:
Other legacy medical identifiers associated with Micaela T Theisen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
2047222MedicaidWashington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Micaela T Theisen
945 E 42nd Ave,
Spokane, Washington
Zip: 99203-6201
Phone Number: 509-202-8109
Fax Number: 856-686-5218
Patients can reach Micaela T Theisen at Hwy 191 And Hospital Drive, Chinle, Arizona or can call to book an appointment on 928-674-7090.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.