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

Tina Renee Mickle, FNP-C

Individual provider Family Nurse Practitioner · NPI 1215450374

Tina Renee Mickle, FNP-C is a Nurse Practitioner in Prescott Valley, Arizona. Qualified in 2017, 9 years ago. Practices with Yavapai Regional Medical Center Physician Care LLC, a 119-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2017
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

7700 E Florentine Rd Ste 101
Prescott Valley, AZ 86314-2245
Phone: (928) 442-8710
Fax: (928) 442-8742
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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 TAP10322 (AZ)

Record details

NPI number1215450374
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 20, 2017
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Yavapai Regional Medical Center Physician Care Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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