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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHELLE R NELSON, PA

Active

MICHELLE R NELSON, PA is a Physician Assistant healthcare provider located in LAKE GENEVA, Wisconsin. NPI 1063493088 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LAKE GENEVA, WI

Registration Details

NPI Number
1063493088
Provider Type
Individual
Gender
Female
NPI Issued
Nov 8, 2005 (20.735554029722 yrs)
Last Updated
Oct 7, 2025
License
1662023 (WI)

Practice Information

Address
146 E GENEVA SQ
LAKE GENEVA, WI, 531479694
Browse WI providers · Browse ZIP 53147
Phone
2622495000
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LAKE GENEVA, WI

Name Credential NPI
MS. ANNETTE M HUSSKE PA 1790739035
MARIANNE T WEBER PAC 1285859520
NATALIE J ELLINGSON PAC 1548473127
SARAH L PIEPER PA-C 1922347418
JAMES WILLIAM GELDER PA-C 1992181408
CARLY DIANE TRIEBENSEE PA 1093548984
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.