NPIMap

Individual provider Active NPI

Michele McNalley Wilson, PA-C

  • Physician Assistant
  • Merrill, WI
National Provider Identifier
1982978367
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3503-23 Issued in WI
Practice address
601 S Center Ave
Merrill, WI 54452-3404
Phone
(405) 203-0749
NPI assigned
Mar 1, 2012
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OK
Physician Assistant 363A00000X PA2066 OK
Physician Assistant 363A00000X 3503-23 WI Primary

Addresses

Primary practice location

601 S Center Ave
Merrill, WI 54452-3404

Mailing address

601 S Center Ave
Merrill, WI 54452-3404
Phone (405) 203-0749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150501001247 WI Practitioner - Physician Assistant 3577728344 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1630 Chippewa Dr
Rhinelander, WI 54501-9503
Phone (715) 361-5480

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
90.06
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2066OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 22, 2017 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 22, 2017 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin CurrentSince Jun 24, 2022 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Jul 1, 2022 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1982978367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S CENTER AVE",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544523404",
            "telephone_number": "405-203-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CENTER AVE",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544523404",
            "telephone_number": "405-203-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MICHELE",
        "middle_name": "MCNALLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA2066",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3503-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrill, WI

Sources for this page

Verify at the official NPI Registry.