Charles Mickelson, C.PED.
NPI 1568773679 · Pedorthist · South St. Paul,, MN
Charles Mickelson, C.PED. is a Pedorthist provider in South St. Paul,, MN (NPI 1568773679).
Provider details
- NPI number
- 1568773679
- Entity type
- Individual
- Primary specialty
- PedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- C.PED.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-06-24
- Last updated
- 2010-11-09
Frequently asked questions
- What is Charles Mickelson's NPI number?
- Charles Mickelson's National Provider Identifier (NPI) is 1568773679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Mickelson's specialty?
- Charles Mickelson is listed in the NPPES registry with a primary specialty of Pedorthist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Charles Mickelson located?
- Charles Mickelson's practice location on file with NPPES is 423 12th Ave. North, South St. Paul,, MN 55075-1915.
- What is Charles Mickelson's phone number?
- The practice phone number listed in the NPPES registry for Charles Mickelson is (651) 291-7000.
- Is Charles Mickelson's NPI active?
- Yes — Charles Mickelson's NPI (1568773679) is active in the NPPES registry as of the last update on 2010-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.