Individual provider Active NPI

Michelle Marie Sleger, PA

  • Physician Assistant
  • Sheboygan Falls, WI
National Provider Identifier
1689656407
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
863 Issued in WI
Practice address
N6985 Johnsonville Way
Sheboygan Falls, WI 53085
Phone
(920) 453-6207
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 863-023 WI
Physician Assistant 363A00000X 863 WI Primary

Addresses

Primary practice location

N6985 Johnsonville Way
Sheboygan Falls, WI 53085

Mailing address

12500 W Bluemound Rd Ste 201
Elm Grove, WI 53122-2600
Phone (262) 787-2114

Other identifiers 1

IdentifierTypeStateIssuer
42960700MedicaidWI

Other names 1

  • Michelle Marie Doers Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mdoers217026@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031111000380 WI Practitioner - Physician Assistant 2860305208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056

2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone (920) 457-4461

2600 Kiley Way
Plymouth, WI 53073-5020
Phone (920) 449-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
863-023WIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Nov 12, 2020 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Nov 12, 2020 Accepting new patients
Advanced Healthcare SC Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

12500 W Bluemound Rd
Ste 201
Elm Grove, WI 53122
Phone (262) 787-2114

215 Washington St
Grafton, WI 53024
Phone (262) 375-3700

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

7878 N 76th St
Milwaukee, WI 53223
Phone (414) 354-6434

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

1110 Gateway Ct
West Bend, WI 53095
Phone (262) 306-6100

Interoperability endpoints

  • Direct secure messaging: mdoers217026@direct.myadvocateaurora.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1689656407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 W BLUEMOUND RD STE 201",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222600",
            "telephone_number": "262-787-2114",
            "fax_number": "920-463-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N6985 JOHNSONVILLE WAY",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "53085",
            "telephone_number": "920-453-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEGER",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "863-023",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42960700",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdoers217026@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "N6985 Johnsonville Way",
            "city": "Sheboygan Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "N6985 Johnsonville Way",
            "city": "Sheboygan Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DOERS",
            "middle_name": "MARIE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sheboygan Falls, WI

Sources for this page

Verify at the official NPI Registry.