TINA RENEE MICKLE FNP-C NPI 1215450374

NPI Information

  • NPI: 1215450374
  • Provider Name: TINA RENEE MICKLE, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7700 E FLORENTINE RD STE 101
    PRESCOTT VALLEY, AZ
    ZIP 86314
  • Phone: (928) 442-8710

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NPI Details

Tina Renee Mickle, FNP-C is a family nurse practitioner in Prescott Valley, AZ with 8 years of experience. Tina Renee Mickle, FNP-C NPI is 1215450374. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7700 E FLORENTINE RD STE 101
PRESCOTT VALLEY, AZ
ZIP 86314-245
Phone: (928) 442-8710
Fax: (928) 442-8742

The NPI 1215450374 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes (HCPCS:99458)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes (HCPCS:G0446)
  • Testing for presence of drug, by chemistry analyzers (HCPCS:80307)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS:G0447)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0481)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0482)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Urinalysis, manual test (HCPCS:81002)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Vitamin d-3 level (HCPCS:82306)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Thyroid hormone, t3 measurement, free (HCPCS:84481)
  • Hemoglobin a1c level (HCPCS:83036)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Test to measure expiratory airflow and volume changes before and after medication administration (HCPCS:94060)
  • Test to measure largest amount of air breathed in an out (HCPCS:94200)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) (HCPCS:G0296)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)

The enumeration date for this NPI number is 7/20/2017 and was last updated on 2/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyTAP10322ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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