Matthew Allan Mickelson
Matthew Allan Mickelson is a Nurse Practitioner in Deforest, Wisconsin. Qualified in 2022, 4 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 4
- Licensed in
- WI
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
4200 Savannah DrDeforest, WI 53532-2909
Phone: (608) 417-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 13661-33 (WI) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 241314 (WI) |
Record details
| NPI number | 1942907647 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 13, 2023 |
| Last updated in NPPES | September 12, 2023 |
| Certification date | September 11, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Prohealth Medical Group Inc — 472 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Deforest
-
Luciano Branch
4200 Savannah Dr, Deforest, WI 53532-2909 · (608) 417-3300
-
Kelly Hofstetter
4958 Innovation Dr Apt 430, Deforest, WI 53532-2840 · (715) 367-0808
-
Mrs. Julie Christine Jones, RN
7727 Catchfly Ln, Deforest, WI 53532-2403 · (608) 235-5424
-
Jamie Lothe, RN
3988 Windsor Rd, Deforest, WI 53532-2734 · (608) 448-8795
-
Taysheedra Noll, RN
936 Silver Ripple Way, Deforest, WI 53532-1483 · (608) 556-0267
-
Jane Sattler, RN
444 Columbia Ave, Deforest, WI 53532-1331 · (608) 628-6626
-
Sara Elizabeth Schlesner Vaughn, FNP-BC
119 Crooked Tree Dr, Deforest, WI 53532-9113 · (262) 853-7007
-
Jane Stowell
231 N Lexington Pkwy, Deforest, WI 53532-3004 · (757) 286-7590