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MICHELLE MORGAN M.D.
NPI 1245692326
Family Medicine in Waukesha, WI

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
717 W MORELAND BLVD, WAUKESHA, WI 53188(326) 542-9100 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2019, Aug 20, 2018, Mar 28, 2016 (3 updates tracked since 2016).

About Michelle Morgan M.d. NPPES

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

MICHELLE MORGAN M.D. (NPI 1245692326) is an individual family medicine provider in Waukesha, Wisconsin, licensed in Wisconsin (68113) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1245692326
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELLE MORGANCredential: M.D.
Location Address717 W MORELAND BLVDWaukesha, WI 53188-2432
Mailing Address717 W Moreland BlvdWaukesha, WI 53188-2432 · (326) 542-9100
Phone(326) 542-9100
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateJuly 19, 20193 updates tracked since enumeration
✔ NPI 1245692326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 68113
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
717 W MORELAND BLVD, Waukesha, WI 53188
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Morgan M.d. 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 ID7416285804
PECOS Enrollment IDI20190822003427
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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Morgan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prohealth Medical Group Inc
0.9 mi
Family Medicine
721 AMERICAN AVE, SUITE 310
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • 528 clinicians in this Medicare group
NPI 1629225677 (262) 928-4880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

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.
244 services176 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
126 services126 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.
48 services46 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
35 services35 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
28 services28 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
22 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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
$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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers40 claims95 services$4.92 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers14 claims17 services$0.80 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.

DAYKEN ELISE UNDERDAHL PA-C
Family Medicine
717 W MORELAND BLVD
WAUKESHA, WI 53188
Waukesha County (262) 542-9100
KAILEY C. INMAN PA-C
Physician Assistant
717 W MORELAND BLVD
WAUKESHA, WI 53188
Waukesha County (262) 542-9100
CAROLYN K DAY MD
Family Medicine
717 W MORELAND BLVD, PROHEALTH CARE MEDICAL ASSOCIATES INC
WAUKESHA, WI 53188
Waukesha County (262) 542-9100
JOHN SZIVECZ MPT
Physical Therapist
717 W MORELAND BLVD, PROHEALTH CARE MEDICAL ASSOCIATES MORELAND FAMILY MEDIC
WAUKESHA, WI 53188
Waukesha County (262) 542-9100
DR. ROWENA ELIZABETH PAPSON M.D.
Family Medicine
717 W MORELAND BLVD
WAUKESHA, WI 53188
Waukesha County (262) 542-9100
MARY FOURNESS A.P.N.P.
Nurse Practitioner
717 W MORELAND BLVD, PROHEALTH CARE MEDICAL ASSOCIATES MORELAND FAMILY MEDIC
WAUKESHA, WI 53188
Waukesha County (262) 542-9100
RICHARD DAO
Family Medicine
717 W MORELAND BLVD
WAUKESHA, WI 53188
Waukesha County (262) 542-9100
ELIZABETH DAVIES MD
Family Medicine
717 W MORELAND BLVD, PROHEALTH CARE MEDICAL ASSOCIATES MORELAND FAMILY MEDIC
WAUKESHA, WI 53188
Waukesha County (262) 542-9100

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 Morgan's NPI number?

The NPI number for Michelle Morgan is 1245692326. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Michelle Morgan located?

Michelle Morgan practices at 717 W Moreland Blvd, Waukesha, WI 53188. The listed phone number is (326) 542-9100.

What is Michelle Morgan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michelle Morgan enrolled in Medicare?

Yes. Michelle Morgan 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.

Which organization bills Medicare for Michelle Morgan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Morgan reassigns Medicare benefits to Prohealth Medical Group Inc (Waukesha, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Morgan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Morgan accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and UnitedHealthcare list Michelle Morgan 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 Michelle Morgan affiliated with any hospitals?

According to CMS data, Michelle Morgan is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Morgan was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.