JESSICA NICHOLE MICKELS (NPI# 1164066023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164066023 |
| Entity Type | Individual |
| Full Name | JESSICA NICHOLE MICKELS |
| Credential | RNFA |
| Practice Address |
6000 Hospital Dr Hannibal MO 63401-6887 |
| Mailing Address |
Po Box 551 Hannibal MO 63401-0551 |
| Practice Telephone | 5732485115 |
| Practice Fax Number | 5732485196 |
| Mailing Telephone | 5732485115 |
| Mailing Fax Number | 5732485196 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
2013025149 | MO | Nursing Service Providers |
| Street Address |
6000 HOSPITAL DR |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401-6887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669527 | Joel Hassien | Radiology | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2005-06-16 |
| 1902431471 | Holly Mae Hardy | Registered Nurse | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2020-03-05 |
| 1548808454 | Keegan Marie Harvey | Registered Nurse | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2019-12-11 |
| 1558905414 | Jennifer Gayle Hinds | Registered Nurse | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2019-11-04 |
| 1720621154 | Ashley Laine Hodges | Nurse Practitioner | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2019-10-17 |
| 1043724875 | Blessing Hospital | Hospitalist | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2017-12-01 |
| 1033647417 | Brittain Utah Ladd | Emergency Medicine | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2017-05-30 |
| 1932651650 | Dhp of Mo - Hannibal PC | Surgery | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2016-10-28 |
| 1831541812 | Gary Daniel Peterson | Anesthesiology | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2016-07-01 |
| 1821463530 | Rachel Epperson | Spec/Tech, Pathology | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2015-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| Find all providers in zip 63401 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808454 | Keegan Marie Harvey | Registered Nurse | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2019-12-11 |
| 1558905414 | Jennifer Gayle Hinds | Registered Nurse | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2019-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921635 | Laura Schwab | Registered Nurse | 1000 Des Peres Rd Ste 325, Saint Louis, MO 63131-2053 | 2020-08-07 |
| 1518501154 | Elizabeth Marie Bowdoin | Registered Nurse | 11920 County Road 4001, Holts Summit, MO 65043-2529 | 2019-11-06 |
| 1851953020 | Kelley Marie Kiel | Registered Nurse | 621 S New Ballas Rd Ste 537a, Saint Louis, MO 63141-8261 | 2019-07-08 |
| 1114445020 | Ronald Edward Patterson | Registered Nurse | 1306 Brighton Crest Dr, O Fallon, MO 63366-5971 | 2017-08-31 |
| 1588108716 | Midwest First Assisting LLC | Registered Nurse | 9464 Erika Ln, New Bloomfield, MO 65063-1942 | 2016-12-07 |
| 1710439922 | Shawna Fisher | Registered Nurse | 23525 Highway O, Smithton, MO 65350-3140 | 2016-11-04 |
| 1780049684 | Padma Akumalla | Registered Nurse | 1 Barnes Jewish Hospital, South Kings Highway, Stlouis, MO 63110 | 2015-12-18 |
| 1154793248 | Elite Surgical Assisting LLC | Registered Nurse | 2355 Dougherty Ferry Rd Ste 430, Saint Louis, MO 63122-3325 | 2015-10-28 |
| 1538425269 | Amy Lynn Imming | Registered Nurse | 3 Forest Brook Ct, Suite 104, Saint Peters, MO 63376 | 2012-04-06 |
| 1912204603 | Anita Christine Perkins | Registered Nurse | 2305 Sw Hawk View Rd, Lees Summit, MO 64082-4095 | 2011-02-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.