MICHAEL L. FETTEROLF MD – NPI #1821069691
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
MICHAEL FETTEROLF is a physician located in NEW LONDON, WI. NPPES has assigned the NPI number 1821069691 to MICHAEL FETTEROLF on January 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.
The NPI profile was previously updated about 5 years ago on Dec 11, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL FETTEROLF below.
NPI Profile for
MICHAEL L. FETTEROLF
(more than 20 years ago)
NEW LONDON, WI 54961-2155 Phone: (920) 531-2400 Fax:
APPLETON, WI 54912-8003 Phone: (920) 996-3200 Fax: (920) 738-5787
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for MICHAEL FETTEROLF
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | MEDICARE PTAN | WI | 450030702 |
| OTHER | RAILROAD MEDICARE | PA | 160011217 |
| MEDICAID | PA | 0010419750001 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
PA | MD031976E |
| 207VX0000X - Obstetrics & Gynecology / Obstetrics |
PA | MD031976E |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
- Endpoint
- [email protected]
- Endpoint type
- Direct Messaging Address
- Endpoint Description
- Content Type
- Affiliation
- N
- Endpoint Location
-
2601 FIELDCREST DR,
KAUKAUNA, WI 77025-1669
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
MICHAEL FETTEROLF is affiliated with the following medical group(s):
- HOSPITAL
- ASCENSION NE WISCONSIN - ST ELIZABETH CAMPUS1506 S ONEIDA ST
APPLETON, WI 54915
- ASCENSION NE WISCONSIN - ST ELIZABETH CAMPUS1506 S ONEIDA ST
Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.
How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.
Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System.
See the complete CMS Data Dissemination Notice here.