MICHAEL JAMES MITCHELL MD
NPI 1164501771
Psychiatry & Neurology - Neurology in Mount Pleasant, WI

Q: What is Michael Mitchell's NPI number?

The NPI number for Michael Mitchell is 1164501771. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Q: What is Michael Mitchell's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mitchell was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment

75.75/100

CMS Quality Rating

13250 WASHINGTON AVE, MOUNT PLEASANT, WI 53177(888) 720-2012 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael James Mitchell Md NPPES

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

MICHAEL JAMES MITCHELL MD (NPI 1164501771) is an individual neurology provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (40357) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1164501771

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameMICHAEL JAMES MITCHELLCredential: MD

Location Address13250 WASHINGTON AVEMount Pleasant, WI 53177-1516

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(888) 720-2012

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 1997

Enumeration DateNovember 3, 2006

Last NPPES UpdateAugust 30, 2024

NPPES CertifiedAugust 30, 2024

✔ NPI 1164501771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in WI · 40357

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

13250 WASHINGTON AVE, Mount Pleasant, WI 53177

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Secondary Practice Location 1

Location 12311 N Prospect AveMilwaukee, WI 53211-4445 · Phone (414) 319-3000

Other Identifiers 1

Medicaid32628500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

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 Mitchell Md 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 ID1355423534

PECOS Enrollment IDI20080126000103

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 6

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

130 services130 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

66 services62 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

54 services27 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

34 services32 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services15 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520035

Location3400 Union AveSheboygan, WI 53081 · Sheboygan County

Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520189

Location10400 75th StKenosha, WI 53142 · Kenosha County

Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520207

Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53177 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.16

Promoting Interoperability

Improvement Activities

Cost

57.63

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.

ALEXIS MARIE VENTURA DNP, CRNA

Nurse Anesthetist, Certified Registered

13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177

Racine County (262) 857-5000

JACK CONOR NEYLON

Registered Nurse

13250 WASHINGTON AVE
MT PLEASANT, WI 53177

Racine County (262) 799-8700

DR. ADRIAN KENNETH STULL M.D.

Emergency Medicine

13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177

Racine County (262) 799-8700

JAMES M WALTENBERGER MD

Surgery

13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177

Racine County (888) 720-2012

DR. DONNA J HEMPHILL MD

Obstetrics & Gynecology

13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177

Racine County (888) 720-2012

MARGARET ANN RYNKIEWICZ

Physician Assistant

13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177

Racine County (262) 799-8700

MR. JEFFREY THOMAS VAUGHAN KROEGER CRNA

Nurse Anesthetist, Certified Registered

13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177

Racine County (262) 799-8700

MR. EVAN JACOB CLARK MD

Emergency Medicine

13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177

Racine County (262) 799-8200

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 Mitchell's NPI number?

The NPI number for Michael Mitchell is 1164501771. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Michael Mitchell located?

Michael Mitchell practices at 13250 Washington Ave, Mount Pleasant, WI 53177. The listed phone number is (888) 720-2012.

What is Michael Mitchell's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Michael Mitchell enrolled in Medicare?

Yes. Michael Mitchell 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.

What insurance does Michael Mitchell accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Michael Mitchell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Mitchell affiliated with any hospitals?

According to CMS data, Michael Mitchell is affiliated with Aurora Health Care Central Inc, Aurora St Lukes Medical Center, Aurora Medical Center Kenosha and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Mitchell was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.