1. Home
  2. Directory
  3. Michigan
  4. Kalamazoo
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. MICHELLE TERESA WICIAK MD
NPI 1003752726
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Active since April 25, 2026PECOS Enrolled
1000 OAKLAND DR, KALAMAZOO, MI 49008(269) 337-4600 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 1, 2026, Apr 25, 2026 (2 updates tracked since 2026).

About Dr. Michelle Teresa Wiciak Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHELLE TERESA WICIAK MD (NPI 1003752726) is an individual student in an organized health care education/training program in Kalamazoo, Michigan, licensed in Michigan (5101021786) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003752726
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MICHELLE TERESA WICIAKCredential: MD
Location Address1000 OAKLAND DRKalamazoo, MI 49008-1282
Mailing Address1000 Oakland DrKalamazoo, MI 49008-1282
Phone(269) 337-4600
Sole ProprietorNo
Enumeration DateApril 25, 2026
Last NPPES UpdateMay 1, 20262 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1003752726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 5101021786
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 OAKLAND DR, Kalamazoo, MI 49008
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michelle Teresa Wiciak Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW MATTINGLY MD
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
SAJA ABDELHADI
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
SARAH ANNE ECENBARGER WARREN MD
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
MARTIN B DRAZNIN M.D.
Pediatrics (Pediatric Endocrinology)
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-6430
ABIGAIL MUNRO BOND DO
Emergency Medicine
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-6600
ALEX JOHN VANWOERKOM DO
Emergency Medicine
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
DR. KELLY ANN MING MD
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4400
DR. ERICA VANDERKOOY M.D.
Pediatrics
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-6400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Wiciak's NPI number?

The NPI number for Michelle Wiciak is 1003752726. It was assigned to this individual provider in the NPPES registry on April 25, 2026.

Where is Michelle Wiciak located?

Michelle Wiciak practices at 1000 Oakland Dr, Kalamazoo, MI 49008. The listed phone number is (269) 337-4600.

What is Michelle Wiciak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michelle Wiciak enrolled in Medicare?

Yes. Michelle Wiciak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Wiciak was last updated on May 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.