MS. MICHELLE MERTENS-DODGEN (ARNP) – Nurse Practitioner, NPI 1649246091
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. MICHELLE MERTENS-DODGEN (ARNP)
105 E Main St
Waukon, IA 521721735
Phone: (563) 568-3449
Type: Location
37868 US Highway 18
Prairie Du Chien, WI 538218416
Phone:
Type: Location
37868 US HIGHWAY 18
PRAIRIE DU CHIEN, WI 538218416
Phone: (608) 357-2000
Type: Mailing
37822 US HIGHWAY 18
PRAIRIE DU CHIEN, WI 538218416
Phone: (608) 357-2430
Type: Mailing
Eau Claire Post Office, Orchard Street, Pipestone Township, Berrien County, Michigan, 49102, United States
EAU CLAIRE, WI 547021510
Phone: (715) 838-5222
Type: Mailing
105, East Main Street, Waukon, Makee Township, Allamakee County, Iowa, 52172, United States
WAUKON, IA 521721735
Phone: (563) 568-3449
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $146.
Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.
Last reported payment date: 2024-04-29 • Largest payer in this snapshot: Astellas Pharma US Inc ($112).
Total Amount
$146
General + Research + Ownership
Payments
4
Total payment records
General Amount
$146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $112 |
| Novo Nordisk Inc | $34 |
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: 2020-03-25
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20200325001785 | I | Nurse Practitioner | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 52172)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | WI | |
| General Surgery | WI | |
| Family Practice | IA | |
| Family Practice | IL | |
| - | WI | |
| - | WI | |
| - | WI | |
| Certified Registered Nurse Anesthetist (Crna) | IA |
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