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Active NPI 1295495802 Individual Practitioner Female Practitioner

Michelle Elaine Martin , LPN

Licensed Practical Nurse • Deerfield, WI

Professional Overview & Biography Verified Profile Summary

Michelle Martin, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Deerfield, WI. Practice services are available at 1515 HOMMEN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1515 Hommen Rd

Deerfield, WI 535319678

Telephone 6084440774

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Deerfield, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Deerfield, WI (1775 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-22
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WI 301758

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Heather Deiter , RN

Registered Nurse

NPI 1043046147

Registered Nurse

Christine Lange

Registered Nurse - Home Health

NPI 1083203715
Becky Stowers , BSN, RN

Registered Nurse

NPI 1124526413

Bachelor of Science in Nursing, Registered Nurse

Nicole Deon , LPN

Licensed Practical Nurse

NPI 1184376204

Licensed Practical Nurse

Diana Regoli , RN

Registered Nurse

NPI 1457949729

Registered Nurse

Lashay Edwards , LPN

Licensed Practical Nurse

NPI 1518771518

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 22, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2021

Registered at 1515 HOMMEN RD, DEERFIELD, WI 535319678 (Tel: 6084440774)

📍
Updated Business Mailing Address December 22, 2021

Registered at 175 WATERLOO ST, COLUMBUS, WI 539251764 (Tel: 6086950594)

👤
Provider Name / Credentials Updated December 22, 2021

Recorded as MICHELLE MARTIN, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2021

Licensed Practical Nurse (License #301758 in WI)

🟢
Initial NPI Registration & Enumeration December 22, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295495802
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2021
Last Update: December 22, 2021
Sole Proprietor: Yes

Mailing Address

175 Waterloo St

Columbus, WI 539251764

Phone: 6086950594

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.