MEDICARE: DR. MICHAEL JOSEPH CAIN DNP, APNP, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	8067	WI
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	8067-33	WI

General Provider Information

NPI Number	:	1629588116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JOSEPH CAIN DNP, APNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	3237 S 16TH ST STE 310
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-4526
Country	:	US
Telephone Number	:	414-389-3111
Fax Number	:	414-389-3110

Provider Business Practice Location Address
First Line	:	3237 S 16TH ST STE 310
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-4526
Country	:	US
Telephone Number	:	414-389-3111
Fax Number	:	414-389-3110

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2017
Last Update Date	:	04/07/2026

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