Angelica M Mendieta, Nurse Practitioner
Nurse Practitioner, Family in Milwaukee, WI. Individual provider (NPI-1).
Details
- NPI
- 1104613629
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Angelica M Mendieta
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 21, 2025
- Certification date
- Jul 31, 2026
- Last updated
- Jul 31, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 16506-33 | WI | Yes |
Practice location
1032 S Cesar E Chavez DrMilwaukee, WI 53204-2203
Phone 414-672-1353 · Fax 262-408-5094
Mailing address
1032 S Cesar E Chavez DrMilwaukee, WI 53204-2203
Phone 414-672-1353 · Fax 262-408-5094
Other practice locations
Milwaukee, WI 53221-2145
Phone 414-672-1353
Milwaukee, WI 53215-3732
Phone 414-672-1353
Milwaukee, WI 53204-1130
Phone 414-672-1353
Waukesha, WI 53188-3718
Phone 414-672-1353
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 475 Family Nurse Practitioner providers in Milwaukee · All 23,880 providers in Milwaukee
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