Michelle M Mindham, APNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2675-033 Issued in WI

Practice address

N65W24838 Main St
Unit 400
Sussex, WI 53089-2670

Phone

(262) 246-6822

NPI assigned

Jan 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mmindham92743@direct.myadvocateaurora.org

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.

• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Manitowoc, WI
  • NPI 1801941075
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366598823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BROADMOORE DR",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272701",
            "telephone_number": "414-438-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N65W24838 MAIN ST",
            "address_2": "UNIT 400",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530892670",
            "telephone_number": "262-246-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINDHAM",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-03-07",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2675-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "N65W24838 Main St",
            "address_2": "Unit 400",
            "city": "Sussex",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530892670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmindham92743@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "N65W24838 Main St",
            "address_2": "Unit 400",
            "city": "Sussex",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530892670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kim Michele May, RN
• Jenna McCaffrey
• Kimberly L McElroy, M.D.
• Susan Ann Merkel, LPN
• Milwaukee Total Health LLC
• Paula Vanlaanen Minix
• Theresa Marie Monfre, D.C.
• Lindsay Moreau, ND
• Stephen Moreau, D.C.
• Stephen E. Morgan, M.D.

• Nurse Practitioner in Sussex, WI
• Providers in Sussex, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.