Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carrie Denise Mikkelson-Heredia, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1649345760

Carrie Denise Mikkelson-Heredia, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Beverly Hills, California. Graduated from University of Southern California Keck School of Medicine in 2005, 21 years ago. Practices with Tip Top Anesthesia Group Inc, a 46-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

450 N Roxbury Dr Ste 600
Beverly Hills, CA 90210-4232
Phone: (310) 651-2280
Fax: (310) 651-2260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 3288 (CA)

Record details

NPI number1649345760
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedNovember 22, 2006
Last updated in NPPESJuly 16, 2015

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Tip Top Anesthesia Group Inc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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