MR. MICHAEL L MITCHELL (NPI# 1558880070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558880070 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL L MITCHELL |
| Credential | APNP |
| Practice Address |
2600 S Heritage Woods Dr Appleton WI 54915-1408 |
| Mailing Address |
122 E College Ave Appleton WI 54911-5794 |
| Practice Telephone | 9202257875 |
| Practice Fax Number | 9209935003 |
| Mailing Telephone | 9209963264 |
| Mailing Fax Number | 9208305970 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 143450 | WI | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 8075 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225506652 | Michael Todd Mitchell | Non-emergency Medical Transport (VAN) | 417 Dunvegan Ct, Lafayette, LA 70503-6089 | 2018-11-03 |
| 1447727227 | Michael Ben Mitchell | Counselor | 6071 E Woodmen Rd Ste 320, Colorado Springs, CO 80923-2612 | 2018-10-30 |
| 1942686035 | Michael Mitchell | Nurse Practitioner | 4200 Willow Bend Ln, Port Arthur, TX 77642-7231 | 2015-07-31 |
| 1225440910 | Michael Mitchell | Pediatrics | 14 Medical Park Ste 400, Pediatric Clinic, Columbia, SC 29203 | 2014-05-29 |
| 1538592902 | Michael Spencer Mitchell | Dentist | 1001 Shadow Ln # Ms 7415, Las Vegas, NV 89106-4124 | 2013-08-20 |
| 1194168807 | Michael Shane Mitchell | Military Health Care Provider | 5371 Washington St, Camp Lejeune, NC 28547-1104 | 2013-04-11 |
| 1760699037 | Michael S Mitchell | Social Worker | 109 W 27th St Ste 8a, New York, NY 10001 | 2007-05-17 |
| 1891852059 | Michael Rickey Mitchell | Counselor | 699 Piedmont Ave Ne Ste B2, Atlanta, GA 30308-1400 | 2007-01-03 |
| 1538234315 | Michael A. Mitchell | Chiropractor | 5313 Arctic Blvd, Suite 101, Anchorage, AK 99518-1111 | 2006-11-21 |
| 1871605980 | Michael Scott Mitchell | Chiropractor | 9188 E San Salvador Dr Ste 201, Scottsdale, AZ 85258-5534 | 2006-08-31 |
| Street Address |
2600 S HERITAGE WOODS DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588658595 | Ronald T Schreiber | Internal Medicine | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2005-09-06 |
| 1821637612 | Heather A Richardson | Physician Assistant | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2019-12-27 |
| 1710466693 | Taylor J Jacobs | Physical Therapist | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2018-08-10 |
| 1114432259 | Sarah A Truesdale | Registered Nurse | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2017-12-12 |
| 1720593213 | Dawn R Kempen | Registered Nurse | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2017-12-06 |
| 1568839009 | Rebecca J Philpot | Nurse Practitioner | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2015-09-01 |
| 1134465636 | Patricia Ann Angelucci | Nurse Practitioner | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2013-01-02 |
| 1396049649 | Michelle M Hermes | Registered Nurse | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2010-12-30 |
| 1649505371 | Andrea Gulmire | Speech-Language Pathologist | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2009-10-14 |
| 1760650287 | Peabody Manor | Skilled Nursing Facility | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2008-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477070308 | Tamara Marie A Marshall | Nurse Practitioner | 5605 W Waterford Ln, Appleton, WI 54913-8438 | 2017-08-22 |
| 1871748418 | Tammy E Weyenberg | Nurse Practitioner | 3962 N Richmond St, Appleton, WI 54913-7153 | 2008-11-24 |
| 1396802823 | Ellen Pitsch | Nurse Practitioner | 2809 N. Park Drive Lane, Appleton, WI 54911 | 2007-01-03 |
| 1629024823 | Deborah S Colon | Nurse Practitioner | 30 S Behl St, Appleton, MN 56208-1616 | 2006-05-26 |
| 1871541342 | Kimberly Williams | Nurse Practitioner | 1616 N Casaloma Dr Ste 100, Appleton, WI 54913-8245 | 2006-05-05 |
| 1659363778 | Pam E Verkuilen | Nurse Practitioner | 5320 W Michaels Drive, Appleton, WI 54913 | 2005-08-16 |
| 1053918524 | Nicole Anne Vannoie | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-10-07 |
| 1306454053 | Samantha L Thiede | Nurse Practitioner | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-07-20 |
| 1215556824 | Cheryl E Christensen | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-04-14 |
| 1902467731 | Danielle L Leick | Nurse Practitioner | 1818 N Meade St, Appleton, WI 54911-3454 | 2019-06-24 |
| Find all providers in APPLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.