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MICHELLE LYN THEDE PMHNP-BC
NPI 1255203444
Nurse Practitioner - Psychiatric/Mental Health in Oshkosh, WI

Active since September 18, 2025PECOS EnrolledAccepts Medicare Assignment
700 N WESTHAVEN DR, OSHKOSH, WI 54904(920) 303-8700 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2026, Jan 25, 2026, Sep 18, 2025 (3 updates tracked since 2025).

About Michelle Lyn Thede Pmhnp-bc NPPES

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

MICHELLE LYN THEDE PMHNP-BC (NPI 1255203444) is an individual psychiatric/mental health provider in Oshkosh, Wisconsin, licensed in Wisconsin (17440-33) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255203444
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHELLE LYN THEDECredential: PMHNP-BC
Location Address700 N WESTHAVEN DROshkosh, WI 54904-6947
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(920) 303-8700
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 18, 2025
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1255203444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 17440-33
Also ListedNurse PractitionerTaxonomy 363L00000X · License 17440 (WI)
700 N WESTHAVEN DR, Oshkosh, WI 54904
Open in Google Maps ↗

Other Identifiers 1

Medicaid100389815WI

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

Michelle Lyn Thede Pmhnp-bc 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 ID6608352497
PECOS Enrollment IDI20260112001993
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 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.

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.

MR. GREGG ROBERT BREWER M.S.
Social Worker (Clinical)
700 N WESTHAVEN DR
OSHKOSH, WI 54904
Winnebago County (920) 456-2030
DR. ALEX PATRICK KELSEY DO
Psychiatry & Neurology (Psychiatry)
700 N WESTHAVEN DR
OSHKOSH, WI 54904
Winnebago County (920) 456-2030
STEPHANIE ROSS POTTS PHD
Clinical Neuropsychologist
700 N WESTHAVEN DR
OSHKOSH, WI 54904
Winnebago County (920) 456-2030
MS. DEBBIE A ZWICKEY LCSW
Social Worker
700 N WESTHAVEN DR
OSHKOSH, WI 54904
Winnebago County (920) 303-8700
KATHRYN MARIE GLYNN M.D.
Pain Medicine (Interventional Pain Medicine)
700 N WESTHAVEN DR
OSHKOSH, WI 54904
Winnebago County (920) 303-8700
LINDSAY W DAVEL DNP, APNP
Nurse Practitioner (Psychiatric/Mental Health)
700 N WESTHAVEN DR
OSHKOSH, WI 54904
Winnebago County (920) 456-2030
GAYLE A JOHNSON LPC
Counselor (Professional)
700 N WESTHAVEN DR
OSHKOSH, WI 54904
Winnebago County (920) 303-8800
MELISSA KLOSTERMAN LCSW
Social Worker (Clinical)
700 N WESTHAVEN DR
OSHKOSH, WI 54904
Winnebago County (920) 456-2030

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 Thede's NPI number?

The NPI number for Michelle Thede is 1255203444. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Where is Michelle Thede located?

Michelle Thede practices at 700 N Westhaven Dr, Oshkosh, WI 54904. The listed phone number is (920) 303-8700.

What is Michelle Thede's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michelle Thede enrolled in Medicare?

Yes. Michelle Thede 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.

When was this NPI record last updated?

The NPPES record for Michelle Thede was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.