MR. MICHAEL D III ARIZOLA (PAC) – Physician Assistant, NPI 1639163652

MR. MICHAEL D III ARIZOLA (PAC) is a healthcare provider. based in Appleton, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 1526 (WI). The NPI Number for MR. MICHAEL D III ARIZOLA (PAC) is 1639163652

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL D III ARIZOLA (PAC)
NPI
1639163652
Phone
(920) 730-6700
Address
1506 S ONEIDA ST
Enumeration Date
6 September 2005
Last Update Date
17 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9208315050
Graduation Year
2002 (24 years ago)
PAC ID
3173426863
Group Practice PAC ID
1759294887
Professional Enrollment ID
I20070803000076
Address ID
WI549113454AP900XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,703 PHYSICIAN ASSISTANT in WI

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Provider Addresses for MR. MICHAEL D III ARIZOLA (PAC)

  • Ascension Saint Elizabeth Hospital, 1506, South Oneida Street, Appleton, Outagamie County, Wisconsin, 54915, United States

    APPLETON, WI 549151305

    Phone: (920) 730-6700

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ATRICURE, INC. ($27).

Total Amount

$125

General + Research + Ownership

Payments

6

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-08-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070803000076IPhysician AssistantWITBD

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.

Verify on CMS Revalidation Lookup Tool

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 54915)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759294887View full group profile
NameSpecialtyState
Family PracticeWI
Family PracticeWI
-FL
Hospitalist, Internal MedicineMI
P S Y C H I A T R YWI
-WI
-WA
Physician AssistantWI
Family PracticeWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

Does MR. MICHAEL D III ARIZOLA (PAC) have a public NPI I can cite?
Public records show MR. MICHAEL D III ARIZOLA (PAC) under NPI 1639163652.
Should I treat MR. MICHAEL D III ARIZOLA (PAC) as an active provider?
Patients and plans typically see MR. MICHAEL D III ARIZOLA (PAC) as active in the national extract.
How should patients interpret MR. MICHAEL D III ARIZOLA (PAC)'s specialty?
The extract shows Physician Assistant for MR. MICHAEL D III ARIZOLA (PAC). Clinical services aligned with this taxonomy classification.
Is MR. MICHAEL D III ARIZOLA (PAC) tied to Appleton, Wisconsin?
If you are local to Appleton, Wisconsin, MR. MICHAEL D III ARIZOLA (PAC) may be relevant to your search.
Who maintains MR. MICHAEL D III ARIZOLA (PAC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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