Active NPI
Yvette N Mikhail, PA
- Medical Physician Assistant
- Madison, WI
National Provider Identifier
1457799587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 3149-23
- Practice address
- 2942 Winter Park PL
Madison, WI 53719-5817 - Phone
- (608) 354-5162
- NPI assigned
- Jun 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3149-23 | WI | Primary |
Addresses
Primary practice location
2942 Winter Park PL
Madison, WI 53719-5817
Mailing address
2942 Winter Park PL
Madison, WI 53719-5817
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ymikhail641380@direct.uwhealth.org |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3149 | WI | MD | Clinical Social Worker |
| 3149-23 | WI | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1457799587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2942 WINTER PARK PL",
"city": "MADISON",
"state": "WI",
"postal_code": "537195817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2942 WINTER PARK PL",
"city": "MADISON",
"state": "WI",
"postal_code": "537195817",
"telephone_number": "608-354-5162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKHAIL",
"first_name": "YVETTE",
"middle_name": "N",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2021-08-16",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WI",
"license": "3149-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ymikhail641380@direct.uwhealth.org",
"affiliation": "N",
"address_1": "5618 Odana Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537191208",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.