MR. MICHAEL POULSEN (R.N.) – Medical-Surgical Registered Nurse, NPI 1477094332
Medical-Surgical Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,241 NURSE PRACTITIONER in IN
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Provider Addresses for MR. MICHAEL POULSEN (R.N.)
1105, Mossy Lane, Autumn Lakes Apartments & Townhomes, Mishawaka, Saint Joseph County, Indiana, 46544, United States
MISHAWAKA, IN 465449055
Phone: (317) 450-9807
Type: Mailing
Unity Medical & Surgical Hospital, 4455, Edison Lakes Parkway, Mishawaka, Saint Joseph County, Indiana, 46545, United States
MISHAWAKA, IN 465451442
Phone: (574) 231-6894
Type: Location
707 CEDAR ST STE 405
SOUTH BEND, IN 466172059
Phone: (574) 335-8707
Type: Mailing
5215 HOLY CROSS PKWY
MISHAWAKA, IN 465451469
Phone: (574) 335-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $152.
Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.
Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Eisai Inc. ($108).
Total Amount
$152
General + Research + Ownership
Payments
2
Total payment records
General Amount
$152
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Eisai Inc. | $108 |
| Inspire Medical Systems, Inc. | $44 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-11-10
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171110000291 | I | Nurse Practitioner | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 114 | 63 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 105 | 53 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 63 | 59 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 46544)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Certified Clinical Nurse Specialist (Cns) | WI | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN |
Reviews
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