Michelle Mironovich
NPI 1881441962 · Physician Assistant · Green Bay, WI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michelle Mironovich is a Physician Assistant provider in Green Bay, WI (NPI 1881441962).
Provider details
- NPI number
- 1881441962
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 8641 (WI)
Specialties & taxonomies
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
2 yrs in NPPES 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)
- 2502 S Ashland AveGreen Bay, WI 54304-5252Phone: (651) 635-8000
Registry dates
- Enumerated
- 2024-05-06
- Last updated
- 2026-05-07
- Certified
- 2026-05-07
Frequently asked questions
- What is Michelle Mironovich's NPI number?
- Michelle Mironovich's National Provider Identifier (NPI) is 1881441962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Mironovich's specialty?
- Michelle Mironovich is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michelle Mironovich located?
- Michelle Mironovich's practice location on file with NPPES is 1110 Kepler Dr, Green Bay, WI 54311-8306.
- What is Michelle Mironovich's phone number?
- The practice phone number listed in the NPPES registry for Michelle Mironovich is (920) 288-5555.
- Does Michelle Mironovich accept Medicare?
- Michelle Mironovich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michelle Mironovich's NPI active?
- Yes — Michelle Mironovich's NPI (1881441962) is active in the NPPES registry as of the last update on 2026-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.