Individual provider Active NPI

Jennifer Michels, PHD

  • Clinical Psychologist
  • Wausau, WI
National Provider Identifier
1659473353
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2257-057 Issued in WI
Practice address
500 N 1St St Ste 2400
Wausau, WI 54403-4886
Phone
(715) 322-3581
Fax
(715) 997-8675
NPI assigned
Sep 2, 2006
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2257-057 WI Primary
Health Psychologist 103TH0004X 2257-057 WI

Addresses

Primary practice location

500 N 1St St Ste 2400
Wausau, WI 54403-4886

Mailing address

500 N 1St St Ste 2400
Wausau, WI 54403-4886
Phone (715) 322-3581

Other identifiers 1

IdentifierTypeStateIssuer
39130600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100309000400 WI Practitioner - Clinical Psychologist 6709921216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Southern Illinois University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastrointestinal Associates S.C.Group PAC ID 4385677814, 42 clinicians

Practice addresses (Care Compare)

411 Westwood Dr
Wausau, WI 54401-4152
Phone (715) 847-2558

500 N 1St St
Suite 2400
Wausau, WI 54403-4886
Phone (715) 322-3581

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2257-057WIMDHealth Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Associates S.C. CurrentSince Jun 19, 2025 Accepting new patients
Rock Point Psychology LLC Clinical CurrentSince Dec 1, 2024 Accepting new patients

Locations

411 Westwood Dr
Wausau, WI 54401
Phone (715) 479-0374

500 N 1st St
Ste 2400
Wausau, WI 54403
Phone (715) 322-3581

Interoperability endpoints

  • Direct secure messaging: jennifer.michels@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 2

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1659473353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N 1ST ST STE 2400",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034886",
            "telephone_number": "715-322-3581",
            "fax_number": "715-997-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N 1ST ST STE 2400",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034886",
            "telephone_number": "715-322-3581",
            "fax_number": "715-997-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELS",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2257-057",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "WI",
            "license": "2257-057",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39130600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.