Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colby Beth Mickartz, AG-ACNP

Individual provider Nurse Practitioner · NPI 1164263489

Colby Beth Mickartz, AG-ACNP is a Nurse Practitioner in Monterey, California. Qualified in 2024, 2 years ago. Licensed in California and Maine.

Years since qualifying
2
Licensed in
CA, ME
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

5 Harris Ct Ste 201
Monterey, CA 93940-5750
Phone: (831) 375-4105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95034003 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence CNP241192 (ME)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence CNP241192 (ME)

Record details

NPI number1164263489
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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