MICAH DRISCOLL NPI 1609567957

NPI Information

  • NPI: 1609567957
  • Provider Name: MICAH DRISCOLL
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 601 WALL ST
    VALPARAISO, IN
    ZIP 46383
  • Phone: (219) 531-3500

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NPI Details

Micah Driscoll is a psychiatric/mental health nurse practitioner in Valparaiso, IN with 3 years of experience. Micah Driscoll NPI is 1609567957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 WALL ST
VALPARAISO, IN
ZIP 46383-512
Phone: (219) 531-3500

The NPI 1609567957 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 enumeration date for this NPI number is 5/17/2023 and was last updated on 8/2/2023.

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
1163W00000XRegistered NurseR220189-4MINNESOTANo
2163W00000XRegistered Nurse28235293AINDIANANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health71014117AINDIANAYes

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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