JOHN G MICKELSON DO
NPI 1497773097
Preventive Medicine - Occupational Medicine in Fargo, ND
NPI Status: Active since July 18, 2006
Contact Information
3838 12TH AVE N
FARGO, ND
ZIP 58102
Phone: (701) 234-4700
Fax: (701) 234-4757
- Individual
- Male
- Preventive Medicine
- Occupational Medicine
- Accepts Insurance
- PECOS Enrolled
About JOHN MICKELSON
This page provides the complete NPI Profile along with additional information for John Mickelson, a provider established in Fargo, North Dakota with a medical specialization in Preventive Medicine, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1497773097 assigned on July 2006. The practitioner's primary taxonomy code is 2083X0100X with license number 6205 (ND). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1497773097
- Provider Name
- JOHN G MICKELSON DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3838 12TH AVE N FARGO, ND 58102
- Location Phone
- (701) 234-4700
- Location Fax
- (701) 234-4757
- Mailing Address
- 3838 12TH AVE N FARGO, ND 58102
- Mailing Phone
- (701) 234-4700
- Mailing Fax
- (701) 234-4757
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-18-2006
- Last Update Date
- 11-30-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preventive Medicine Occupational Medicine
- Taxonomy Code
- 2083X0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 6205
- License State
- ND
- Taxonomy Description
- Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 34645 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
- Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Essentia Choice Care with Medica Bronze Share - EPO
- Essentia Choice Care with Medica Bronze Share - HMO
- Essentia Choice Care with Medica Expanded Bronze Standard - EPO
- Essentia Choice Care with Medica Expanded Bronze Standard - HMO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Gold Share - EPO
- Essentia Choice Care with Medica Gold Share - HMO
- Essentia Choice Care with Medica Gold Standard - EPO
- Essentia Choice Care with Medica Gold Standard - HMO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Silver Share - EPO
- Essentia Choice Care with Medica Silver Share - HMO
- Essentia Choice Care with Medica Silver Standard - EPO
- Essentia Choice Care with Medica Silver Standard - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| N25378 | MEDICARE PIN (08) | ND | |
| E93914 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
John Mickelson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 58102 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.45
- Minimum New Patient Price $55.75
- Maximum New Patient Price $168.12
- Average New Patient Copayment $31.86
- Minimum New Patient Copayment $13.93
- Maximum New Patient Copayment $42.03
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.29
- Minimum Established Patient Price $18.11
- Maximum Established Patient Price $137.65
- Average Established Patient Copayment $24.57
- Minimum Established Patient Copayment $4.52
- Maximum Established Patient Copayment $34.41
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 7 | 7 | 3 | 0 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 14 | 7 | 6 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 4 + 7 + 6 + 0 + 1 + 8 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1497773097 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447271671 | TERRY M GRANLUND NP Individual | Nurse Practitioner | 3838 12TH AVE N FARGO, ND 58102 (701) 234-4700 |
| 1255353744 | JENNIFER L DEJONG NP Individual | Nurse Practitioner | 3838 12TH AVE N FARGO, ND 58102 (701) 233-4700 |
| 1982747713 | MRS. ANN MARGARET BURD MPT Individual | Physical Therapist | 3838 12TH AVE N FARGO, ND 58102 (701) 234-4700 |
| 1649300450 | MRS. KATIE MARGARET LAYFIELD PT Individual | Physical Therapist | 3838 12TH AVE N FARGO, ND 58102 (701) 234-4700 |
| 1336417484 | MRS. HEATHER RAE BENNINGTON A.T.C., P.T. Individual | Physical Therapist | 3838 12TH AVE N FARGO, ND 58102 (701) 234-4703 |
| 1669600185 | MS. CHANTEL MARIE FRAPPIER D.P.T Individual | Physical Therapist | 3838 12TH AVE N FARGO, ND 58102 (701) 234-4700 |
| 1861801763 | LISA LYNN FROEMKE PA-C Individual | Physician Assistant (Medical) | 3838 12TH AVE N FARGO, ND 58102 (701) 234-4700 |
| 1255749024 | BRYCE NELSON OTR/L Individual | Occupational Therapist (Physical Rehabilitation) | 3838 12TH AVE N FARGO, ND 58102 (701) 234-4700 |
| 1619318847 | NICHOLE SHERRY PALMER-GEORGE PT, DPT Individual | Physical Therapist | 3838 12TH AVE N FARGO, ND 58102 (701) 234-4700 |
| 1245633460 | KARON JOYCE GARRETT APRN Individual | Nurse Practitioner (Family) | 3838 12TH AVE N FARGO, ND 58102 (701) 234-4700 |
| 1477571172 | JOHN GREGORY BEAUCLAIR MD Individual | Preventive Medicine (Occupational Medicine) | 3838 12TH AVE N FARGO, ND 58102 (701) 234-4700 |
| 1891213708 | SARAH CHRISTINE TISCHER FNP-BC Individual | Nurse Practitioner (Occupational Health) | 3838 12TH AVE N FARGO, ND 58102 (701) 234-4700 |
| 1952336265 | SUZANNE R SANDSMARK RPT Individual | Physical Therapist | 3838 12TH AVE N FARGO, ND 58102 (701) 234-4700 |
| 1306613757 | MRS. CRESENCIA CLAIRE HAMRE APRN Individual | Nurse Practitioner (Family) | 3838 12TH AVE N FARGO, ND 58102 (701) 234-4700 |
| 1952323974 | SANFORD MEDICAL CENTER FARGO Organization | Clinic/Center (Occupational Medicine) | 3838 12TH AVE N FARGO, ND 58102 (701) 234-4700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497773097, enumerated in the NPI registry as an "individual" on July 18, 2006
The provider is located at 3838 12th Ave N Fargo, Nd 58102 and the phone number is (701) 234-4700
The provider's speciality is Preventive Medicine with taxonomy code 2083X0100X with a focus in Occupational Medicine
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medica,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $127.45 with an average copayment of $31.86 for new patient appointments. Established patients should expect a typical charge of $98.29 and an average copayment of 24.57. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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