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

Dr. Phillip Lee Mickelsen, MD

Individual provider Anesthesiology Physician · NPI 1518960012

Dr. Phillip Lee Mickelsen, MD is an Anesthesiology in Kearney, Nebraska. Graduated from University of Colorado School of Medicine, Denver in 2000, 26 years ago. Practices with Emergenchealth PLLC, a 1,024-clinician group and accepts Medicare assignment. Licensed in Minnesota and Nebraska.

Years since qualifying
26
Trained at
University of Colorado School of Medicine, Denver
Licensed in
MN, NE
In the registry since
2005
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

6420 56th Ave
Kearney, NE 68845-0380
Phone: (308) 224-2062
Fax: (888) 974-5962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 32312 (NE)
Anesthesiology Physician Taxonomy 207L00000X · Licence 107063 (MN)

Record details

NPI number1518960012
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2005
Last updated in NPPESJanuary 30, 2020
Certification dateJanuary 30, 2020

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2000 (26 years in practice)
Group practice Emergenchealth Pllc — 1024 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kearney