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

Mr. Michael Poulsen, RN

Individual provider Family Nurse Practitioner · NPI 1477094332

Mr. Michael Poulsen, RN is a Nurse Practitioner in Mishawaka, Indiana. Qualified in 2017, 9 years ago. Practices with Paradigm Living Concepts LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone: (574) 335-5000
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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 71007577A (IN)

Record details

NPI number1477094332
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 13, 2017
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address707 Cedar St Ste 405, South Bend, IN 46617-2059

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Paradigm Living Concepts Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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