MICHELLE KATHRYN HEATON D.O.
NPI 1821364738
Psychiatry & Neurology - Psychiatry in Waukesha, WI

Active since March 25, 2012PECOS EnrolledAccepts Medicare Assignment
721 AMERICAN AVE STE 501, WAUKESHA, WI 53188(262) 928-4036 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Sep 12, 2017, Apr 29, 2017 (3 updates tracked since 2017).

About Michelle Kathryn Heaton D.o. NPPES

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

MICHELLE KATHRYN HEATON D.O. (NPI 1821364738) is an individual psychiatry provider in Waukesha, Wisconsin, licensed in Wisconsin (61739) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1821364738
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMICHELLE KATHRYN HEATONCredential: D.O.
Location Address721 AMERICAN AVE STE 501Waukesha, WI 53188-5071
Mailing Address721 American Ave Ste 501Waukesha, WI 53188-5071 · (262) 928-4036
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 25, 2012
Last NPPES UpdateNovember 27, 20243 updates tracked since enumeration
NPPES CertifiedNovember 27, 2024
NPI 1821364738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in WI · 61739
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 61739-21 (WI)
721 AMERICAN AVE STE 501, Waukesha, WI 53188

Accepted Insurance

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 Kathryn Heaton D.o. 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 ID9830313501
PECOS Enrollment IDI20140619001326
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.
273 services100 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
118 services43 patients

Hospital Affiliations CMS Care Compare

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

Other Providers at the Same Location NPPES 15

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

Social Worker (Clinical)
721 AMERICAN AVE STE 501
WAUKESHA, WI 53188
Psychiatry & Neurology (Child & Adolescent Psychiatry)
721 AMERICAN AVE STE 501
WAUKESHA, WI 53188
Social Worker (Clinical)
721 AMERICAN AVE STE 501
WAUKESHA, WI 53188
Counselor (Addiction (Substance Use Disorder))
721 AMERICAN AVE STE 501
WAUKESHA, WI 53188
Counselor (Professional)
721 AMERICAN AVE STE 501
WAUKESHA, WI 53188
Social Worker (Clinical)
721 AMERICAN AVE STE 501
WAUKESHA, WI 53188
Psychiatry & Neurology (Psychiatry)
721 AMERICAN AVE STE 501
WAUKESHA, WI 53188
Psychiatry & Neurology (Psychiatry)
721 AMERICAN AVE STE 501
WAUKESHA, WI 53188

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821364738, enumerated as an "individual" on March 25, 2012.

The provider is located at 721 AMERICAN AVE STE 501 WAUKESHA, WI 53188 and the phone number is (262) 928-4036.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica, Network. Please consult your insurance carrier or call the provider to verify.

Michelle Heaton is affiliated with: WAUKESHA MEMORIAL HOSPITAL.