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

Mikayla Ruth Petzke, NP

Individual provider Family Nurse Practitioner · NPI 1457188492

Mikayla Ruth Petzke, NP is a Nurse Practitioner in Appleton, Wisconsin. Qualified in 2024, 2 years ago. Practices with Ascension NE Wisconsin, Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
2
Licensed in
WI
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1506 S Oneida St
Appleton, WI 54915-1305
Phone: (920) 738-2000
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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 15893-33 (WI)

Record details

NPI number1457188492
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 16, 2024
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 15, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ascension Ne Wisconsin, Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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