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

Philip M Micksch, NP

Individual provider Family Nurse Practitioner · NPI 1669832887

Philip M Micksch, NP is a Nurse Practitioner in Two Rivers, Wisconsin. Qualified in 2015, 11 years ago. Practices with Baycare Aurora LLC, a 199-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2016
Specialties on file
2
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

5300 Memorial Dr Ste 303
Two Rivers, WI 54241-3923
Phone: (920) 793-6550
Fax: (920) 793-6551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 6871-33 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 6871 - 33 (WI)

Record details

NPI number1669832887
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 1, 2016
Last updated in NPPESApril 23, 2020
Certification dateApril 23, 2020
Mailing address5300 Memorial Dr, Suite 303, Two Rivers, WI 54241-3923

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Baycare Aurora Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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