Michelle Joan Wolff, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

277001217 Issued in IL

Practice address

213 Front St
Beaver Dam, WI 53916-1605

Phone

(847) 261-4999

Fax

(844) 773-7700

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Human Services Board Serving North Central Health Care Facility

  dba North Central Health Care

  • Multi-Specialty Clinic/Center
  • Wausau, WI
  • NPI 1205944543
  Medicare reassignment NPD
• Watertown Physician Practices LLC

  • Family Medicine Physician
  • Watertown, WI
  • NPI 1770964363
  Medicare reassignment NPD
• Journeycare, Inc

  • Community Based Hospice Care Agency
  • Barrington, IL
  • NPI 1154324994
  Medicare reassignment NPD
• Human Services Board Serving North Central Health Care Facility

  dba North Central Health Care Youth Behavioral Health Hospital

  • Psychiatric Hospital
  • Wausau, WI
  • NPI 1932714292
  NPD
• Watertown Physician Practices LLC

  • Obstetrics & Gynecology Physician
  • Watertown, WI
  • NPI 1225412265

  Nurse Practitioner

  NPD
• Watertown Physician Practices LLC

  dba WRMC Center for Eye Wear

  • Durable Medical Equipment & Medical Supplies
  • Watertown, WI
  • NPI 1528558749
  NPD
• Journeycare, Inc.

  • Community Based Hospice Care Agency
  • Barrington, IL
  • NPI 1821049933
  NPD
• Watertown Physician Practices LLC

  dba WRMC Directions Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Watertown, WI
  • NPI 1760866891

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1427141563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W10291 HAWK RD",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539169523",
            "telephone_number": "847-528-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 FRONT ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161605",
            "telephone_number": "847-261-4999",
            "fax_number": "844-773-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "MICHELLE",
        "middle_name": "JOAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9724",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "9724",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "9724-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277001217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Willihnganz, MS, LMFT
• Wilson H Luy Tan, MD LTD
• Virginia K Wilson, MD
• Ruth Ann Wimmer, RN BSN
• Kevin Wippermann
• Ashley Beth Wolosek-Raatz
• Raymond Michael Wood, PHD
• Mary A Woodman, PA-C
• Michelle Woods, LAT
• Miranda M Woods, SAC-IT

• Psychiatric/Mental Health Nurse Practitioner in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.