Individual provider Active NPI

Kurt D Michelkamp, RN

  • Registered Nurse
  • Almond, WI
National Provider Identifier
1295063485
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
146810-030 Issued in WI
Practice address
7948 County Road a
Almond, WI 54909-9556
Phone
(715) 366-8277
NPI assigned
Nov 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 146810-030 WI Primary

Addresses

Primary practice location

7948 County Road a
Almond, WI 54909-9556

Mailing address

3727 North Point Dr
Stevens Point, WI 54481-1233
Phone (715) 341-6970

Other identifiers 2

IdentifierTypeStateIssuer
146810-030OtherWIRN LICENSE
35033900MedicaidWI

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
146810-030WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Down Home Nursing, LLC Past Accepting new patients

Organizations & group practices 1

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": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1295063485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 NORTH POINT DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811233",
            "telephone_number": "715-341-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7948 COUNTY ROAD A",
            "city": "ALMOND",
            "state": "WI",
            "postal_code": "549099556",
            "telephone_number": "715-366-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELKAMP",
        "first_name": "KURT",
        "middle_name": "D",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "146810-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "146810-030",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35033900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Almond, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.