Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MITCHELL LOUIS JUDGE LI MD
NPI 1932442464
Emergency Medicine - Emergency Medical Services in Fond Du Lac, WI

Q: What is Mitchell Li's NPI number?

The NPI number for Mitchell Li is 1932442464. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Q: What is Mitchell Li's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Q: When was this NPI record last updated?

The NPPES record for Mitchell Li was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment

420 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-4600(920) 926-4869 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2026, Mar 17, 2026, Dec 7, 2018 and 1 more (4 updates tracked since 2017).

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About Mitchell Louis Judge Li Md NPPES

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

MITCHELL LOUIS JUDGE LI MD (NPI 1932442464) is an individual emergency medical services provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (65823-20) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of University Of Massachusetts Medical School (2013).

NPPES Registry Identity

NPI1932442464

Entity TypeIndividualMale

Primary Taxonomy207PE0004X

Provider Legal NameMITCHELL LOUIS JUDGE LICredential: MD

Location Address420 E DIVISION STFond Du Lac, WI 54935-4560

Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-4600 · Fax (920) 926-4869

Phone(920) 926-4600

Fax(920) 926-4869

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2013

Enumeration DateApril 3, 2013

Last NPPES UpdateAugust 4, 20264 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1932442464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians

Taxonomy Code207PE0004X

License✔ Licensed in WI · 65823-20

Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 036143472 (IL), 4301106252 (MI)

420 E DIVISION ST, Fond Du Lac, WI 54935

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Other Identifiers 1

Other4301106252MI · Mi Limited License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Mitchell Louis Judge Li Md 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 ID749579233

PECOS Enrollment IDI20190517000940

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

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Carle Hoopeston Regional Health Center

Critical Access Hospitals · Hoopeston, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141316

Location701 East Orange StreetHoopeston, IL 60942 · Vermilion County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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.

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.

MARY R KELM NP

Nurse Practitioner