Individual provider Active NPI

Katie J Michalski, OD

  • Optometrist
  • Wausau, WI
National Provider Identifier
1174753248
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3160-35 Issued in WI
Practice address
800 N 1St Street
Wausau, WI 54403
Phone
(715) 261-8500
Fax
(715) 261-8556
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3160-35 WI Primary

Addresses

Primary practice location

800 N 1St Street
Wausau, WI 54403

Mailing address

800 N 1St Street
Wausau, WI 54403
Phone (715) 261-8500

Other names 1

  • Dr. Katie J Knoedler Michalski Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmichalski@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090923000227 WI Practitioner - Optometry 9830245489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Clinic of Wisconsin, S.C.Group PAC ID 9436121829, 22 clinicians

Practice addresses (Care Compare)

800 N 1St St
Wausau, WI 54403-4754
Phone (715) 261-8500

Merit-based Incentive Payment System (MIPS)

Final score
92.35 of 100Reported as group
Quality
96.34
Promoting interoperability
100
Improvement activities
40
Cost
78.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3160-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinic of Wisconsin, SC CurrentSince Jun 1, 2016 Accepting new patients
Eye Clinic of Wisconsin, S.C. CurrentSince Jun 1, 2016 Accepting new patients
Eye Clinic of Wisconsin SC Current Accepting new patients
Sams East Inc Past Accepting new patients
Eye Clinic of Wisconsin, S.C. Past Accepting new patients
Nikolay Chiropractic LLC PastSince Sep 24, 2023 Accepting new patients
Eye Wear Designs of Marshfield LLC Optometrist Past Accepting new patients

Locations

2 E Ocala St
Rhinelander, WI 54501
Phone (715) 362-2600

3401 Stanley St
Stevens Point, WI 54481
Phone (715) 344-6544

800 N 1st St
Wausau, WI 54403
Phone (715) 261-8500

Interoperability endpoints

  • Direct secure messaging: kmichalski@eyeclinicwi.intellechartdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1174753248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N 1ST STREET",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54403",
            "telephone_number": "715-261-8500",
            "fax_number": "715-261-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N 1ST STREET",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54403",
            "telephone_number": "715-261-8500",
            "fax_number": "715-261-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALSKI",
        "first_name": "KATIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3160-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmichalski@directaddress.net",
            "affiliation": "N",
            "address_1": "800 N 1st Street",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "KNOEDLER MICHALSKI",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.