Micaela T Theisen
DNP, FNP-BC | Nurse Practitioner | 12+ years Exp
Hwy 191 And Hospital Drive, Chinle
Arizona, 86503
928-674-7090
Micaela T Theisen is a Chinle, Arizona based nurse practitioner with 12 years of experience in Nurse Practitioner. 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 with specialization in Nurse Practitioner 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 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 Number | Specialization | State | Status | |
| AP60577678 | Family | Washington | Primary | |
| AP60577678 | Emergency Medicine | Washington | Secondary | |
| NP-1523A | Nurse Practitioner | Idaho | Secondary | |
| AP60577678 | Nurse Practitioner | Washington | Secondary | |
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, WA | Acute Care Hospital |
| (530012) | Casper, WY | Acute Care Hospital |
| (030084) | Chinle, AZ | Acute Care Hospital |
| (531312) | Cody, WY | Critical 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.
| Identifier | Type | State | Issuer |
| 2047222 | Medicaid | Washington | |
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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.