JULIE MICKELSON M.D.
NPI 1356347744
Obstetrics & Gynecology in Milwaukee, WI

Q: What is Julie Mickelson's NPI number?

The NPI number for Julie Mickelson is 1356347744. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is Julie Mickelson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Julie Mickelson was last updated on June 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2005PECOS Enrolled

2311 N PROSPECT AVE, MILWAUKEE, WI 53211(414) 319-3000 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Julie Mickelson M.d. NPPES

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

JULIE MICKELSON M.D. (NPI 1356347744) is an individual obstetrics & gynecology provider in Milwaukee, Wisconsin, licensed in Wisconsin (37828) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356347744

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameJULIE MICKELSONCredential: M.D.

Location Address2311 N PROSPECT AVEMilwaukee, WI 53211-4445

Mailing Address4425 N Port Washington Rd, Attn: Csmcp Clinic CredentialingGlendale, WI 53212-1082 · (414) 319-3000

Phone(414) 319-3000

Sole ProprietorNo

Enumeration DateJune 22, 2005

Last NPPES UpdateJune 12, 2012

✔ NPI 1356347744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in WI · 37828

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2311 N PROSPECT AVE, Milwaukee, WI 53211

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Other Identifiers 6

Medicare UPING33888WI

Medicaid32234000WI

Other5095123WI · Aetna

Medicare OSCAR/certification521830WI

Medicare OSCAR/certification521805WI

Medicare PIN0051:01545WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie Mickelson M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 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

$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.

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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.

DR. MARY GRACE HERNANDEZ LASQUETY M.D.

Family Medicine