Conner Mickelson
NPI 1003704115 · Nurse Practitioner · Madison, WI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Conner Mickelson is a Nurse Practitioner provider in Madison, WI (NPI 1003704115).
Provider details
- NPI number
- 1003704115
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 16932-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 8440 Market St Apt 223Middleton, WI 53562-4778Phone: (608) 576-0618
Registry dates
- Enumerated
- 2025-06-26
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Frequently asked questions
- What is Conner Mickelson's NPI number?
- Conner Mickelson's National Provider Identifier (NPI) is 1003704115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Conner Mickelson's specialty?
- Conner Mickelson is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Conner Mickelson located?
- Conner Mickelson's practice location on file with NPPES is 600 Highland Ave, Madison, WI 53792-0001.
- What is Conner Mickelson's phone number?
- The practice phone number listed in the NPPES registry for Conner Mickelson is (608) 266-1530.
- Does Conner Mickelson accept Medicare?
- Conner Mickelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Conner Mickelson's NPI active?
- Yes — Conner Mickelson's NPI (1003704115) is active in the NPPES registry as of the last update on 2025-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.