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

Dr. Dayne Timothy Mickelson, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1982903142

Dr. Dayne Timothy Mickelson, MD is an Orthopedic Surgery in Bellevue, Washington. Graduated from University of Washington School of Medicine in 2011, 15 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
15
Trained at
University of Washington School of Medicine
Licensed in
WA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3101 Northup Way Ste 201
Bellevue, WA 98004-1435
Phone: (425) 455-3600
Fax: (425) 455-3920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 510 8th Ave Ne Ste 200, Issaquah, WA 98029-5436 — (425) 392-3030
  • 18100 Ne Union Hill Rd Ste 330, Redmond, WA 98052-3330 — (425) 455-3600
  • 515 Minor Ave Ste 200, Seattle, WA 98104-2133 — (425) 455-3600

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence MD60476167 (WA)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence MD60476167 (WA)

Record details

NPI number1982903142
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2011
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024
Mailing address510 8th Ave Ne Ste 320, Issaquah, WA 98029-5436

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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