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MICHAEL JAMES CHURCH PA-C
NPI 1164056727
Physician Assistant in Kenosha, WI

Active since February 23, 2020PECOS EnrolledAccepts Medicare Assignment
6308 8TH AVE, KENOSHA, WI 53143(262) 656-2011 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2020, Feb 23, 2020 (2 updates tracked since 2020).

About Michael James Church Pa-c NPPES

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

MICHAEL JAMES CHURCH PA-C (NPI 1164056727) is an individual physician assistant in Kenosha, Wisconsin, licensed in Wisconsin (5119-23) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1164056727
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL JAMES CHURCHCredential: PA-C
Location Address6308 8TH AVEKenosha, WI 53143-5031
Mailing Address3108 Market Ln Apt 804Kenosha, WI 53144-3463 · (616) 295-5062
Phone(262) 656-2011
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 23, 2020
Last NPPES UpdateSeptember 2, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2020
✔ NPI 1164056727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 5119-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5119-23 (WI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6308 8TH AVE, Kenosha, WI 53143
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Secondary Practice Location 1

Location 1636 Manhattan Rd SEGrand Rapids, MI 49506-2025 · Phone (616) 295-5062

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael James Church Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092134825
PECOS Enrollment IDI20200929001168
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
250 services109 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
104 services48 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
96 services91 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
46 services45 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier44 claims44 services$13.95 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier51 claims51 services$60.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

GINA GAMBUCCI MS, LAT, ATC, OTC
Specialist/Technologist (Athletic Trainer)
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-2011
HANNA MARIANI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6308 8TH AVE, STE 3070
KENOSHA, WI 53143
Kenosha County (262) 656-3710
RAYMOND W KNIGHT MD
Internal Medicine (Hematology & Oncology)
6308 8TH AVE, STE 2000
KENOSHA, WI 53143
Kenosha County (262) 653-5300
BRADLEY N. HAUGSTAD, M.D., S.C.
Anesthesiology
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-2011
JIMALEEN DELABIO
General Acute Care Hospital
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-3290
KENOSHA VASCULAR LAB INC
Specialist
6308 8TH AVE, SUITE 301
KENOSHA, WI 53143
Kenosha County (262) 656-8265
MARK R VYTLACIL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-2943
MICHAEL H ZEIHEN MD
Internal Medicine
6308 8TH AVE, SUITE 2000
KENOSHA, WI 53143
Kenosha County (262) 653-5300

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 Michael Church's NPI number?

The NPI number for Michael Church is 1164056727. It was assigned to this individual provider in the NPPES registry on February 23, 2020.

Where is Michael Church located?

Michael Church practices at 6308 8th Ave, Kenosha, WI 53143. The listed phone number is (262) 656-2011.

What is Michael Church's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Church enrolled in Medicare?

Yes. Michael Church is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Michael Church affiliated with any hospitals?

According to CMS data, Michael Church is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Michael Church was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.