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DR. MICHAEL JOSEPH CAIN DNP, APNP, PMHNP-BC
NPI 1629588116
Nurse Practitioner - Psychiatric/Mental Health in Milwaukee, WI

Active since October 10, 2017PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
3237 S 16TH ST STE 310, MILWAUKEE, WI 53215(414) 389-3111(414) 389-3110 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2026, Apr 27, 2021, Oct 10, 2017 (3 updates tracked since 2017).

About Dr. Michael Joseph Cain Dnp, Apnp, Pmhnp-bc NPPES

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

DR. MICHAEL JOSEPH CAIN DNP, APNP, PMHNP-BC (NPI 1629588116) is an individual psychiatric/mental health provider in Milwaukee, Wisconsin, licensed in Wisconsin (8067-33) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with Ascension St Francis Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629588116
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDR. MICHAEL JOSEPH CAINCredential: DNP, APNP, PMHNP-BC
Location Address3237 S 16TH ST STE 310Milwaukee, WI 53215-4526
Mailing Address3237 S 16th St Ste 310Milwaukee, WI 53215-4526 · (414) 389-3111 · Fax (414) 389-3110
Phone(414) 389-3111
Fax(414) 389-3110
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 10, 2017
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1629588116 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 · 8067-33
Also ListedNurse PractitionerTaxonomy 363L00000X · License 8067 (WI)
3237 S 16TH ST STE 310, Milwaukee, WI 53215
Open in Google Maps ↗

Accepted Insurance

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

Dr. Michael Joseph Cain Dnp, Apnp, 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 ID4688080286
PECOS Enrollment IDI20210305001261
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 Michael Cain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ascension Medical Group-Southeast Wisconsin Inc
5.9 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000

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 3

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 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.
135 services56 patients
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.
53 services30 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services14 patients

Hospital Affiliations CMS Care Compare

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

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIANNE MARGARET JOHN
Nurse Practitioner (Psychiatric/Mental Health)
3237 S 16TH ST STE 310
MILWAUKEE, WI 53215
Milwaukee County (414) 389-3111

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 Cain's NPI number?

The NPI number for Michael Cain is 1629588116. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Where is Michael Cain located?

Michael Cain practices at 3237 S 16th St Ste 310, Milwaukee, WI 53215. The listed phone number is (414) 389-3111.

What is Michael Cain's specialty?

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

Is Michael Cain enrolled in Medicare?

Yes. Michael Cain 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 Michael Cain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Cain reassigns Medicare benefits to Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, 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 Michael Cain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Cain accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Michael Cain 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 Michael Cain affiliated with any hospitals?

According to CMS data, Michael Cain is affiliated with Ascension St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Michael Cain was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.