Individual ProviderMichelle M HermesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2600 S Heritage Woods Dr, Appleton, WI 54915-1408(920) 225-7875(920) 996-3264PECOS EnrollmentBased on the most recent information from CMS, provider Michelle M Hermes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1396049649Provider TypeIndividualFull NameHermes, Michelle MTitleMrs.CredentialRN, BSNGenderFemaleSole ProprietorNoEnumeration Date12/30/2010Last Updated3/17/2018Contact InformationPractice LocationPractice Address2600 S Heritage Woods Dr, Appleton, WI 54915-1408Phone(920) 225-7875Fax(920) 993-5003Mailing LocationMailing Address112 E College Ave, Appleton, WI 54911-5741Phone(920) 996-3264Fax(920) 830-5970Provider TaxonomiesCodeDescriptionLicenseCode363LG0600XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense8007WisconsinCode163WP2201XDescriptionRegistered NurseNursing Service ProvidersLicense144415-030Wisconsin