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CASEY THOMAS MICHELIC
NPI 1205569670
Student in an Organized Health Care Education/Training Program in Madison, WI

Active since July 05, 2022PECOS Enrolled
480 N SHERMAN AVE APT 204, MADISON, WI 53704(920) 421-4214 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Casey Thomas Michelic NPPES

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

CASEY THOMAS MICHELIC (NPI 1205569670) is an individual student in an organized health care education/training program in Madison, Wisconsin and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205569670
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCASEY THOMAS MICHELIC
Location Address480 N SHERMAN AVE APT 204Madison, WI 53704-4463
Mailing Address480 N Sherman Ave Apt 204Madison, WI 53704-4463 · (920) 421-4214
Phone(920) 421-4214
Sole ProprietorYes
Enumeration DateJuly 5, 2022
NPPES CertifiedJuly 5, 2022
✔ NPI 1205569670 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
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.
480 N SHERMAN AVE APT 204, Madison, WI 53704
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Casey Thomas Michelic 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.

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 Casey Michelic's NPI number?

The NPI number for Casey Michelic is 1205569670. It was assigned to this individual provider in the NPPES registry on July 5, 2022.

Where is Casey Michelic located?

Casey Michelic practices at 480 N Sherman Ave Apt 204, Madison, WI 53704. The listed phone number is (920) 421-4214.

What is Casey Michelic's specialty?

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

Is Casey Michelic enrolled in Medicare?

Yes. Casey Michelic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Casey Michelic was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.