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

Lorin Mickelsen IV, DPM

Individual provider Podiatrist · NPI 1689058356

Lorin Mickelsen IV, DPM is a Podiatry in Newburgh, Indiana. Qualified in 2015, 11 years ago. Practices with Deaconess Clinic Inc, a 409-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
11
Licensed in
IN, KY
In the registry since
2015
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

4233 Gateway Blvd
Newburgh, IN 47630
Phone: (812) 858-5786
Fax: (812) 490-4512
Show map & directions

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

Additional practice locations (1)

  • 1300 Merritt Dr, Henderson, KY 42420-2788 — (270) 827-0064

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 07001281A (IN)
Podiatrist Taxonomy 213E00000X · Licence 243967 (KY)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 00433 (KY)

Record details

NPI number1689058356
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 13, 2015
Last updated in NPPESNovember 19, 2019

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Deaconess Clinic Inc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Newburgh