Kendra Mickelson
Kendra Mickelson is a Skilled Nursing Facility provider (Skilled Nursing Facility) practicing in Eureka, IL, registered in the NPPES registry with NPI 1992158356 since 2016.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1992158356 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Kendra Mickelson |
| Sex | Female |
| Practice address | Eureka, IL, 61530 |
| Phone | 3094679094 |
| Fax | 3094679011 |
| Enumeration date | 2016-07-20 |
| Last updated in NPPES | 2016-07-20 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 0042424 | IL |
| 314000000X | Skilled Nursing Facility | Secondary | 1694647 | IL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0042424 | Medicaid | IL | — |
| 314000000X | Other | IL | TAXONOMY NUMBER |
Copy-ready billing details
Provider: Kendra Mickelson NPI: 1992158356 Taxonomy: 314000000X (Skilled Nursing Facility) Address: Eureka, IL, 61530
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720073414 | Maple Lawn Health Center | Organization | Skilled Nursing Facility | Eureka, IL |
| 1841470374 | Maple Lawn Homes Inc. | Organization | Clinic/Center | Eureka, IL |
| 1043658743 | Edward Hodel | Individual | Physical Therapist | Eureka, IL |
| 1720439110 | The Loft Rehabilitation and Nursing LLC | Organization | Skilled Nursing Facility | Eureka, IL |
| 1346835105 | Jesse Kolb | Individual | Occupational Therapy Assistant | Eureka, IL |
Verify this record
Cross-check NPI 1992158356 against the authoritative CMS record: view Kendra Mickelson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-07-20.