Individual provider Active NPI

Michaela Kathryn Heller, PA-C

  • Physician Assistant
  • Chippewa Falls, WI
National Provider Identifier
1528739489
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7576 Issued in WI
Practice address
855 Lakeland Dr
Chippewa Falls, WI 54729-1687
Phone
(715) 839-9280
NPI assigned
Sep 21, 2021
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7576 WI Primary

Addresses

Primary practice location

855 Lakeland Dr
Chippewa Falls, WI 54729-1687

Mailing address

719 W Hamilton Ave Ste B
Eau Claire, WI 54701-6970

Other names 1

  • Michaela Kathryn Thielen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mthielen407631@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 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

Enrollment IDStateProvider typePAC IDDetails
I20231006001789 WI Practitioner - Physician Assistant 4082069331 Reassigns benefits to 1 organization
I20260226003753 MN Practitioner - Physician Assistant 4082069331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakleaf Clinics IncGroup PAC ID 4486831328, 103 clinicians
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

2815 County Hwy I
Chippewa Falls, WI 54729-2656
Phone (715) 438-8255

2919 Stout Rd
Menomonie, WI 54751-2313
Phone (715) 309-4451

3213 Stein Blvd
Eau Claire, WI 54701-6946
Phone (715) 836-9242

3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Phone (715) 839-9280

617 W Clairemont Ave
Eau Claire, WI 54701-6223
Phone (715) 834-2788

625 E Nicollet Blvd
Suite 203
Burnsville, MN 55337-6735
Phone (763) 231-8700

855 Lakeland Dr
Chippewa Falls, WI 54729-1687
Phone (715) 726-9248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7576WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakleaf Clinics Inc CurrentSince Oct 1, 2023 Accepting new patients
Pinnacle Dermatology, SC Physician Assistant CurrentSince Apr 1, 2026 Accepting new patients
Oakleaf Clinics Inc CurrentSince Oct 1, 2023 Accepting new patients
Pinnacle Dermatology, SC PastSince Dec 25, 2019 Accepting new patients
Oakleaf Clinics Inc Past Accepting new patients

Locations

625 E Nicollet Blvd
Ste 203
Burnsville, MN 55337
Phone (952) 435-2525

10705 Town Square Dr NE
Ste 210
Minneapolis, MN 55449
Phone (763) 231-8700

779 Bielenberg Dr
Ste 108
Woodbury, MN 55125
Phone (763) 231-8700

2815 County Highway I
Chippewa Falls, WI 54729
Phone (715) 438-8255

855 Lakeland Dr
Chippewa Falls, WI 54729
Phone (715) 309-4451

2403 Folsom St
Eau Claire, WI 54703

3213 Stein Blvd
Eau Claire, WI 54701
Phone (715) 552-9784

3802 Oakwood Mall Dr
Eau Claire, WI 54701
Phone (715) 831-8130

719 W Hamilton Ave
Ste B
Eau Claire, WI 54701

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1528739489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W HAMILTON AVE STE B",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016970",
            "fax_number": "715-835-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 LAKELAND DR",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291687",
            "telephone_number": "715-839-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "MICHAELA",
        "middle_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "7576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mthielen407631@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "855 Lakeland Dr",
            "city": "Chippewa Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547291687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHAELA",
            "last_name": "THIELEN",
            "middle_name": "KATHRYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chippewa Falls, WI

Sources for this page

Verify at the official NPI Registry.