DR. MICHELE A PREVOST (M.D.) – Orthopaedic Surgery Physician, NPI 1700877875

Orthopaedic Surgery Physician

DR. MICHELE A PREVOST (M.D.) is a healthcare provider. based in Wausau, Wisconsin. specializing in Orthopaedic Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 61797-20 (WI). The NPI Number for DR. MICHELE A PREVOST (M.D.) is 1700877875

Main info

Female

33 Years Of Experience

Accepts Medicare Assignment

Name

DR. MICHELE A PREVOST (M.D.)

NPI

1700877875

Phone

(715) 216-7795

Address

607 S 24TH AVE

Enumeration Date

28 October 2005

Last Update Date

21 July 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6057556100

Graduation Year

1993 (33 years ago)

PAC ID

9032262670

Group Practice PAC ID

6002729506

Professional Enrollment ID

I20200304000931

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

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Provider Addresses for DR. MICHELE A PREVOST (M.D.)

607, South 24th Avenue, Stewart Avenue District, Wausau, Marathon County, Wisconsin, 54401, United States
PMB384
WAUSAU, WI 54401
Phone: (715) 216-7795
Type: Mailing
32nd Avenue, River Drive, Fargo, Cass County, North Dakota, 58109, United States
FARGO, ND 581036132
Phone: (701) 364-8000
Type: Location
112 East Fifth Ave
Antigo, WI 544092710
Phone: (715) 623-2331
Fax: (907) 745-2600
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 54401)

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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: 6002729506View full group profile

Name	Specialty	State
KIMBERLY KENNEDY	Family Practice	SD
DAWN JO ZASTOUPIL (CRNA)	-	SD
CHARLIE DORN III SMITH (MD)	Vascular Surgery, Thoracic Surgery, Thoracic Surgery, Cardiac Surgery	SC
STEVEN K HATA (MD)	-	SD
JAMES MICHAEL KEEGAN (MD)	-	SD
STEPHEN W FANNIN (MD FACC)	Cardiovascular Disease (Cardiology)	OH
MELISSA ANN WALLACE (CRNP)	Nurse Practitioner	PA
KENDRA C. STORM (DNP)	Nurse Practitioner	SD
BETH A IVERSON (CNP)	-	SD
DR. KEVIN K NASSERI (MD)	U R O L O G Y	KS

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Frequently asked questions

How do I look up DR. MICHELE A PREVOST (M.D.) by NPI?

Use NPI 1700877875 when you need to reference DR. MICHELE A PREVOST (M.D.) in forms, claims, or directories.

Is DR. MICHELE A PREVOST (M.D.) active in the national directory?

DR. MICHELE A PREVOST (M.D.)'s public NPI profile is in an active state.

What field does DR. MICHELE A PREVOST (M.D.) work in?

You can think of DR. MICHELE A PREVOST (M.D.) as practicing within Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.

Where does public data place DR. MICHELE A PREVOST (M.D.)?

The snapshot lists Wausau, Wisconsin for DR. MICHELE A PREVOST (M.D.); download NPPES for the complete set.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.