MR. MICHAEL POULSEN R.N.
NPI 1477094332
Nurse Practitioner - Family in Mishawaka, IN
About Mr. Michael Poulsen R.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MICHAEL POULSEN R.N. (NPI 1477094332) is an individual family provider in Mishawaka, Indiana, licensed in Indiana (71007577A) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Mr. Michael Poulsen R.n. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Michael Poulsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 216 clinicians in this Medicare group
Indianapolis, IN 46256
- Reassigned Medicare billing, Indiana enrollment
- 28 clinicians in this Medicare group
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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
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 Poulsen's NPI number?
The NPI number for Michael Poulsen is 1477094332. It was assigned to this individual provider in the NPPES registry on March 13, 2017.
Where is Michael Poulsen located?
Michael Poulsen practices at 5215 Holy Cross Pkwy, Mishawaka, IN 46545. The listed phone number is (574) 335-5000.
What is Michael Poulsen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Michael Poulsen enrolled in Medicare?
Yes. Michael Poulsen 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 organizations bill Medicare for Michael Poulsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Poulsen reassigns Medicare benefits to 2 organizations: Saint Joseph Regional Medical Center-South Bend Campus, Inc (Mishawaka, IN) and Paradigm Living Concepts, LLC (Indianapolis, IN). Each 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 Michael Poulsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Poulsen accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Michael Poulsen 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.
When was this NPI record last updated?
The NPPES record for Michael Poulsen was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. Michael Poulsen, R.N. · NPI 1477094332
Family physician in Mishawaka, Indiana. Individual provider, active in the CMS NPPES registry since March 13, 2017.
## Identity
- **NPI:** 1477094332 (Entity type: Individual)
- **Enumerated:** March 13, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71007577A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 5215 HOLY CROSS PKWY, Mishawaka, IN 46545-1469
- **Phone:** (574) 335-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Saint Joseph Regional Medical Center-South Bend Campus, Inc (NPI 1699132365, Mishawaka, IN); Paradigm Living Concepts, LLC (NPI 1679194773, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 27, 2024
- **Other identifiers:** Other 1102507908 (IN); Medicaid 300007316 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1477094332) · Data from the CMS NPPES public registry.