Doctor profile · Federal record

Dr. Matthew Mickelson

Family Nurse Practitioner (CMS: Nurse Practitioner) · Registered Nurse · Deforest, WI

  • NPI 1942907647
  • Accepts Medicare
  • 4 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4200 Savannah Dr
Deforest, WI 535322909
(608) 417-3300
Mailing address
202 S Park St
Madison, WI 537151507

Credentials & registration

NPPES · NUCC
NPI registered
February 2023 — 3 yrs on file
Profile last updated
September 12, 2023
Year of graduation
2022 — 4 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State licenses (2)
Wisconsin #13661-33 · Wisconsin #241314

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1942907647. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
38
Distinct HCPCS
1
Medicare allowed
$2,001
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 38 34 $53

In context: peer comparison

Among 2 peers in Deforest Family Nurse Practitioner, average services per provider: 181. This provider delivers 0.2× the peer median.

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Matthew Mickelson's medical specialty?
Dr. Matthew Mickelson practices Family Nurse Practitioner in Deforest, WI.
Where does Dr. Matthew Mickelson practice?
Dr. Matthew Mickelson practices at 4200 Savannah Dr, Deforest, WI 535322909. Office phone: 6084173300.
What is Dr. Matthew Mickelson's NPI?
Dr. Matthew Mickelson's National Provider Identifier (NPI) is 1942907647, issued by NPPES.
Does Dr. Matthew Mickelson accept Medicare assignment?
Yes. Dr. Matthew Mickelson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Matthew Mickelson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.