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

Lisa Marie Michalski

Individual provider Family Nurse Practitioner · NPI 1619702040

Lisa Marie Michalski is a Nurse Practitioner in Mishawaka, Indiana. Qualified in 2023, 3 years ago. Practices with Saint Joseph Regional Medical Center Inc, a 141-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2024
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Practice location Address checks out

611 E Douglas Rd
Mishawaka, IN 46545-1464
Phone: (574) 335-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2023058906 (IN)

Record details

NPI number1619702040
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2024
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address925 Potter Point Dr, South Bend, IN 46614-3469

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Saint Joseph Regional Medical Center Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mishawaka