MARK D MICELI (M.D.) – Psychiatry Physician, NPI 1184658858

MARK D MICELI (M.D.) is a healthcare provider. based in Coon rapids, Minnesota. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 2017034370 (MO). The NPI Number for MARK D MICELI (M.D.) is 1184658858

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MARK D MICELI (M.D.)
NPI
1184658858
Phone
(612) 262-1220
Address
4050 COON RAPIDS BLVD NW
Enumeration Date
10 July 2006
Last Update Date
14 October 2019

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
1951305036
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20190306000240
Address ID
MN554322718FR520XXNEXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:19State licenses:4Digital endpointsOther names

746 PSYCHIATRY in MN

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Provider Addresses for MARK D MICELI (M.D.)

  • Mercy Hospital, 4050, Coon Rapids Boulevard Northwest, Mercy, Coon Rapids, Anoka County, Minnesota, 55433, United States

    COON RAPIDS, MN 554332522

    Phone: (612) 262-1220

    Type: Location

  • 114 W 7TH ST STE 900

    AUSTIN, TX 787013013

    Phone: (512) 838-4264

    Fax: (512) 838-4264

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190306000240IPsychiatryMNTBD
I20240926001670IPsychiatryMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes10234$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2714$0
99238Hospital discharge day management, 30 minutes or less1111$0
View full utilization report →

Insurance plans in this area (ZIP 55433)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

Is MARK D MICELI (M.D.) listed with a National Provider Identifier?
Yes — MARK D MICELI (M.D.) has NPI 1184658858 on file in the registry.
Would MARK D MICELI (M.D.) appear as active to a payer?
You can treat MARK D MICELI (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MARK D MICELI (M.D.)?
MARK D MICELI (M.D.) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Minnesota is MARK D MICELI (M.D.) registered?
Use Coon Rapids, Minnesota as the headline location for MARK D MICELI (M.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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