TAMIKA MICKIE – Gerontology Nurse Practitioner, NPI 1023697000

TAMIKA MICKIE is a healthcare provider. based in Dover, Delaware. specializing in NURSE PRACTITIONER. They hold a License No. SP022939 (PA). The NPI Number for TAMIKA MICKIE is 1023697000

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
TAMIKA MICKIE
NPI
1023697000
Phone
(302) 674-0566
Address
889 S Little Creek Rd
Enumeration Date
6 April 2021
Last Update Date
23 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3025436165
Graduation Year
2020 (6 years ago)
PAC ID
3173901931
Group Practice PAC ID
0244492072
Professional Enrollment ID
I20250602000484
Address ID
DE198084047WI1601XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

1,273 NURSE PRACTITIONER in DE

Provider Addresses for TAMIKA MICKIE

  • 889 S Little Creek Rd

    Dover, DE 199014721

    Phone: (302) 674-0566

    Type: Location

  • 3725 ROSEMONT AVE

    DREXEL HILL, PA 190263009

    Phone:

    Type: Mailing

  • 680 BLAIR MILL RD

    HORSHAM, PA 190442223

    Phone: (484) 781-5933

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-05-16 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250602000484INurse PractitionerDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244492072View full group profile
NameSpecialtyState
Family PracticeDE
P S Y C H I A T R YMO
Nurse PractitionerMD
Internal MedicineDE
Osteopathic Manipulative MedicineDE
Nurse PractitionerDE
Nurse PractitionerPA
Nurse PractitionerDE
-TN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I use this page to confirm TAMIKA MICKIE's NPI?
Yes. TAMIKA MICKIE is listed with NPI 1023697000 in the public NPI dataset.
Does the file indicate TAMIKA MICKIE is practicing under active NPI?
Directory data currently reports TAMIKA MICKIE as active.
What is TAMIKA MICKIE's primary classification?
Gerontology Nurse Practitioner is the headline specialty for TAMIKA MICKIE here. Clinical services aligned with this taxonomy classification.
What area does TAMIKA MICKIE serve?
TAMIKA MICKIE's listing highlights Dover, Delaware; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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