MICHELLE LYNN NITSCHKE
NPI 1508424573
Counselor - Mental Health in Watertown, NY
About Michelle Lynn Nitschke NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE LYNN NITSCHKE (NPI 1508424573) is an individual mental health provider in Watertown, New York, licensed in New York (003231) and active in the NPI registry since June 2019. She has opted out of Medicare through July 22, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Michelle Lynn Nitschke has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 22, 2024 through July 22, 2028.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERTOWN, NY 13601
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 Nitschke's NPI number?
The NPI number for Michelle Nitschke is 1508424573. It was assigned to this individual provider in the NPPES registry on June 4, 2019.
Where is Michelle Nitschke located?
Michelle Nitschke practices at 200 Mullin St, Watertown, NY 13601. The listed phone number is (315) 782-4483.
What is Michelle Nitschke's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Michelle Nitschke enrolled in Medicare?
No. Michelle Nitschke has opted out of Medicare through July 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Michelle Nitschke was last updated on June 4, 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.
# Michelle Lynn Nitschke · NPI 1508424573
Mental Health provider in Watertown, New York. Individual provider, active in the CMS NPPES registry since June 4, 2019.
## Identity
- **NPI:** 1508424573 (Entity type: Individual)
- **Enumerated:** June 4, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 003231 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 MULLIN ST, Watertown, NY 13601-4194
- **Phone:** (315) 782-4483
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 22, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** June 4, 2019
- **Other identifiers:** Other 003231 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1508424573) · Data from the CMS NPPES public registry.