DEIRDRE MAE MICKER N.P. NPI 1467622084

NPI Information

  • NPI: 1467622084
  • Provider Name: DEIRDRE MAE MICKER, N.P.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9 HDSN VLY PROF PLZ
    NEWBURGH, NY
    ZIP 12550
  • Phone: (845) 561-0990

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NPI Details

Deirdre Mae Micker, N.P. is a family nurse practitioner in Newburgh, NY with 30 years of experience. Deirdre Mae Micker, N.P. NPI is 1467622084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:1995

The provider's business location address is:

9 HDSN VLY PROF PLZ
NEWBURGH, NY
ZIP 12550-150
Phone: (845) 561-0990
Fax: (845) 562-1439

The NPI 1467622084 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 3/11/2008 and was last updated on 7/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerF420349NEW YORKNo
2363LF0000XNurse PractitionerFamilyF420349NEW YORKYes
3363LW0102XNurse PractitionerWomen's HealthF420349NEW YORKNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102462962MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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