Matthew Allan Mickelson
Matthew Allan Mickelson is a Family Nurse Practitioner provider (Nurse Practitioner) practicing in Deforest, WI, registered in the NPPES registry with NPI 1942907647 since 2023.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1942907647 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Matthew Allan Mickelson |
| Sex | Male |
| Practice address | 4200 SAVANNAH DR, Deforest, WI, 53532 |
| Phone | 6084173300 |
| Enumeration date | 2023-02-13 |
| Last updated in NPPES | 2023-09-12 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | Secondary | 241314 | WI |
| 363LF0000X | Family Nurse Practitioner | Primary | 13661-33 | WI |
Copy-ready billing details
Provider: Matthew Mickelson NPI: 1942907647 Taxonomy: 363LF0000X (Family Nurse Practitioner) Address: 4200 SAVANNAH DR, Deforest, WI, 53532
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1902889140 | Robyn Knudtson Manske | Individual | Nurse Practitioner | Deforest, WI |
| 1003824376 | Mon Yee | Individual | Family Medicine Physician | Deforest, WI |
| 1740357060 | Cynthia Devine | Individual | Physical Therapy Assistant | De Forest, WI |
| 1730256975 | John Bayer | Individual | Physical Therapist | De Forest, WI |
| 1831257724 | Laura Ziegler | Individual | Physical Therapist | De Forest, WI |
| 1871653485 | Mary Kirchberg | Individual | Occupational Therapist | De Forest, WI |
| 1720391410 | Judy Klimt | Individual | Occupational Therapy Assistant | De Forest, WI |
| 1508153867 | Farah Khan | Individual | Family Medicine Physician | Deforest, WI |
Verify this record
Cross-check NPI 1942907647 against the authoritative CMS record: view Matthew Allan Mickelson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-12.