Active NPI
Susanne Elisabeth Michelson
- Home Health Registered Nurse
- Wauwatosa, WI
National Provider Identifier
1053526475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 49287-030
- Practice address
- 4661 N Parkside Dr
Wauwatosa, WI 53225-4447 - Phone
- (414) 464-9785
- NPI assigned
- May 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 49287 - 030 | WI | |
| Home Health Registered Nurse | 163WH0200X | 49287-030 | WI | Primary |
Addresses
Primary practice location
4661 N Parkside Dr
Wauwatosa, WI 53225-4447
Mailing address
4661 N Parkside Dr
Wauwatosa, WI 53225-4447
Phone (414) 464-9785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35026900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49287 - 030 | WI | MD | Registered Nurse |
| 49287-030 | WI | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785628800000",
"number": "1053526475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4661 N PARKSIDE DR",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532254447",
"telephone_number": "414-464-9785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4661 N PARKSIDE DR",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532254447",
"telephone_number": "414-464-9785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELSON",
"first_name": "SUSANNE",
"middle_name": "ELISABETH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2026-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "49287 - 030",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WI",
"license": "49287-030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35026900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
- Michalski Chiropractic Wellness Centre, S.C.
- Ronald Thadeus Michalski, D.C., FACO, DABCO
- Daniel Michel
- Michelle Schaf, LLC
- Stacy Hajinian Michels, D.D.S.
- Midland Health Testing Services Inc
- Midland Health Testing Services, Inc.
- Ashley J Midtling, PA-C
- Midwest Behavioral Consulting
- Midwest Orthopedic Specialty Hospital, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.