NPPES file of Aug 9, 2026

Michelle Olga Mironovich

Physician Assistant · Green Bay, WI

Michelle Olga Mironovich is a physician assistant with a practice address in Green Bay, Wisconsin, and NPI 1881441962, issued on May 6, 2024. Check the license (Wisconsin 8641, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1881441962
Name
Michelle Olga Mironovich
Primary taxonomy
Physician Assistant 363A00000X
License number
8641 WI
Self-reported in NPPES; status is on the state search
Practice location
1110 Kepler Dr, Green Bay, WI 54311
Phone
(920) 288-5555
Enumerated
May 6, 2024
Record last updated
May 7, 2026
Fax
(920) 288-5550
Medicare enrollment
Enrolled (PECOS I20251017003766); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest physician assistant records → All 3,475 in Wisconsin → Look up another NPI →

Also registered at 1110 Kepler Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. John Awowale, M.D.Orthopaedic Surgery Physician1649615329
  2. Kari Becker, OTOccupational Therapist1356226518
  3. Elizabeth Bohrer, PACPhysician Assistant1760963862
  4. Antonino Bommarito, PA-CPhysician Assistant1396416053
  5. Todd Bruss, ATC, LAT, CSCS, PA-CPhysician Assistant1417178443
  6. Sarah Burton, NPNurse Practitioner1154869667

Verify Michelle Olga Mironovich in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
    Search for license 8641    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Baycare Clinic LLPGreen Bay, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Michelle Olga Mironovich among 3,475 physician assistant records in Wisconsin

Michelle Olga Mironovich is one of 3,475 physician assistant records with a practice address in Wisconsin. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 90% of them.

  • NPI issued2024 · 90% of these records are older, 6% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 72% of these records are
  • Graduated2025 · median 2016 among the 2,491 with a school on file
  • Record last updated2026 · 38% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

182 physician assistant records list a practice address in Green Bay

They are 182 of the 4,619 NPPES records with a practice address in Green Bay, and 3,475 physician assistant records in Wisconsin.

All 3,475 in Wisconsin → Every provider in Green Bay → Physician Assistant nationwide →

The 8 physician assistant records with the nearest ZIP codes

  1. Heather Allen, P.AGreen Bay, WI 543111780675603
  2. Isadora Asman, PAGreen Bay, WI 543111598972788
  3. Jennifer Bratonia, PAGreen Bay, WI 543111447262290
  4. Todd Bruss, ATC, LAT, CSCS, PA-CGreen Bay, WI 543111417178443
  5. Robert Capello, PA-CGreen Bay, WI 543111184721656
  6. Bonnie Glinski, PAGreen Bay, WI 543111295750180
  7. Gerald Gozner, PACGreen Bay, WI 543111134228554
  8. Jared Hocking, PAGreen Bay, WI 543111205848926

Common questions

What is Michelle Olga Mironovich's NPI number?

Michelle Olga Mironovich's National Provider Identifier (NPI) is 1881441962, issued on May 6, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Michelle Olga Mironovich located?

The NPPES record lists a practice address at 1110 Kepler Dr, Green Bay, WI, 54311. Phone: (920) 288-5555. Providers update this record themselves, so call before visiting.

How can I verify Michelle Olga Mironovich's license?

NPPES lists Wisconsin license number 8641, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.