Michelle K Raabe
Individual provider Active NPI Family Medicine Physician · Whitehall, WI
NPI 1912535311 · NPPES record last updated Aug 14, 2023
Key facts
- NPI
- 1912535311
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 80048-20 (WI)
- Practice address
- 18601 Lincoln St
Whitehall, WI 54773-8605 - Phone
- (715) 538-4361
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tri-County Memorial Hospital Inc
Practice addresses (Care Compare)
18601 Lincoln St
Whitehall, WI 54773-8605
Phone (715) 538-4361
Hospital & facility affiliations
- Gundersen Tri-County Hospital & Clinics
- Marinuka Manor
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230827000133 | WI | Practitioner - Family Practice | 2264813690 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80048-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Clinic LTD | Current | Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| Gundersen Lutheran Express Care, Inc | Current |
Accepting new patients | |
| Gundersen Clinic, LTD | Current |
Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Past | Accepting new patients |
Locations
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681
18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712
18606 Ervin St
Whitehall, WI 54773
Phone (715) 538-4330
Interoperability endpoints
- mraabe643132@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 80048-20 | WI | Yes |
Addresses
Primary practice location
18601 Lincoln St
Whitehall, WI 54773-8605
Mailing address
18601 Lincoln St
Whitehall, WI 54773-8605
Other providers in Whitehall, WI
- Tayla J Perotti
- Sarah Peterson
- Pharmacare LTD
- Andrea Murray Polnaszek
- Kelly Jean Pronschinske
- Alisabeth Ann Reedy
- Carrie D Roskos
- Scott M Ross
- Chris Ruder
- Michael Schwarz
All providers in Whitehall, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.