Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Conner Mickelson

Individual provider Nurse Practitioner · NPI 1003704115

Conner Mickelson is a Nurse Practitioner in Madison, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2025, 1 year ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 266-1530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8440 Market St Apt 223, Middleton, WI 53562-4778 — (608) 576-0618

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 16932-33 (WI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 16932-33 (WI)

Record details

NPI number1003704115
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 26, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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