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NPISignal

Individual Healthcare Provider

Micaela T Theisen, DNP, FNP-BC

NPI Record: ActiveNurse Practitioner — Family
NPI1902158421
Chinle, Arizona

Provider's NPPES record last updated: May 16, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1902158421
Primary Specialty
Nurse Practitioner — Family
Practice Location
Chinle, Arizona
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 7:52 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Nurse Practitioner

    Family

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    Definition to come...

    Taxonomy code 363LF0000X
  • Emergency Medicine

    Allopathic & Osteopathic Physicians

    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

    Taxonomy code 207P00000X
  • Nurse Practitioner

    Physician Assistants & Advanced Practice Nursing Providers

    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

    Taxonomy code 363L00000X

Provider-Reported License Information

Nurse Practitioner (Washington)
AP60577678
Emergency Medicine (Washington)
AP60577678
Nurse Practitioner (Idaho)
NP-1523A
Nurse Practitioner (Washington)
AP60577678
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

Hwy 191 and Hospital Drive

Chinle, Arizona 86503

Phone: (928) 674-7090

Additional Practice Location

801 E Wheeler Rd

Moses Lake, Washington 98837-1820

Phone: (509) 793-9730

Additional Practice Location

16251 Sylvester Rd Sw

Burien, Washington 98166-3017

Phone: (206) 248-4604

Additional Practice Location

Hwy 191 and Hospital Drive

Chinle, Arizona 86503

Phone: (928) 674-7090

Record Information

Enumeration Date
October 8, 2012
Provider's NPPES Record Last Updated
May 16, 2024
Certification Date
May 16, 2024
NPISignal NPPES Dataset
August 2026

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