Theresa Micknick, PAC
NPI 1164774261 · Medical Physician Assistant · Carbondale, PA
Theresa Micknick, PAC is a Medical Physician Assistant provider in Carbondale, PA (NPI 1164774261).
Provider details
- NPI number
- 1164774261
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- MA001651L (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
13 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 124 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 344 | 89 |
| Atorvastatin Calcium | 319 | 96 |
| Omeprazole | 258 | 77 |
| Simvastatin | 256 | 72 |
| Metoprolol Succinate | 235 | 63 |
| Lisinopril | 217 | 63 |
| Rosuvastatin Calcium | 215 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,977 across 116 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-10-12
- Last updated
- 2012-10-12
Frequently asked questions
- What is Theresa Micknick's NPI number?
- Theresa Micknick's National Provider Identifier (NPI) is 1164774261, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Micknick's specialty?
- Theresa Micknick is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa Micknick located?
- Theresa Micknick's practice location on file with NPPES is 165 Fallbrook St, Carbondale, PA 18433.
- What is Theresa Micknick's phone number?
- The practice phone number listed in the NPPES registry for Theresa Micknick is (570) 282-3151.
- Is Theresa Micknick's NPI active?
- Yes — Theresa Micknick's NPI (1164774261) is active in the NPPES registry as of the last update on 2012-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.