Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Anthony Kallsen, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1730072901

Michael Anthony Kallsen, FNP-BC is a Nurse Practitioner in Ganado, Arizona. Qualified in 2025, 1 year ago. Practices with Emergency Physicians Integrated Care LLC, a 203-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2025
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

191 AZ-264
Ganado, AZ 86505
Phone: (509) 703-0262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3971257 (ID)

Record details

NPI number1730072901
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMay 29, 2025
Last updated in NPPESMay 29, 2025
Certification dateApril 24, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Emergency Physicians Integrated Care Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ganado