MICHELLE MORTENSEN PA-C
NPI 1972052371
Physician Assistant in Fitchburg, WI

Q: What is Michelle Mortensen's NPI number?

The NPI number for Michelle Mortensen is 1972052371. It was assigned to this individual provider in the NPPES registry on September 26, 2016.

Q: What is Michelle Mortensen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 26, 2016PECOS EnrolledAccepts Medicare Assignment

2844 INDEX RD, FITCHBURG, WI 53713(608) 229-7979(608) 229-8110 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2020, Jan 20, 2020, Oct 30, 2018 and 2 more (5 updates tracked since 2016).

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About Michelle Mortensen Pa-c NPPES

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

MICHELLE MORTENSEN PA-C (NPI 1972052371) is an individual physician assistant in Fitchburg, Wisconsin, licensed in Wisconsin (3989-23) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1972052371

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMICHELLE MORTENSENCredential: PA-C

Location Address2844 INDEX RDFitchburg, WI 53713-3117

Mailing Address1808 W Beltline HwyMadison, WI 53713-2334 · (608) 250-1497 · Fax (608) 250-1384

Phone(608) 229-7979

Fax(608) 229-8110

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 26, 2016

Last NPPES UpdateDecember 29, 20205 updates tracked since enumeration

NPPES CertifiedDecember 29, 2020

✔ NPI 1972052371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in WI · 3989-23✔ Licensed in FL · PA9109846

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2844 INDEX RD, Fitchburg, WI 53713

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Other Identifiers 1

Medicaid1972052371WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Mortensen Pa-c 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 ID9234497181

PECOS Enrollment IDI20171222000161

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 5

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.

179 services174 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.

144 services123 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

14 services13 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520083

Location700 South Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

Upland Hills Health

Critical Access Hospitals · Dodgeville, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521352

Location800 Compassion WayDodgeville, WI 53533 · Iowa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53713 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

$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.

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604