Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brookanne J Mickelson, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1013916915

Brookanne J Mickelson, FNP-BC is a Nurse Practitioner in St George, Utah. Qualified in 1997, 29 years ago. Practices with Southwest Spine and Pain Care Specialists LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
29
Licensed in
UT
In the registry since
2005
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2891 E Mall Dr Ste 101
St George, UT 84790-2399
Phone: (435) 656-2424
Fax: (435) 656-2828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 222657-4405 (UT)

Record details

NPI number1013916915
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 21, 2005
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Southwest Spine And Pain Care Specialists Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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