MRS. ANGELICA M MENDIETA NURSE PRACTITIONER
NPI 1104613629
Nurse Practitioner - Family in Milwaukee, WI
About Mrs. Angelica M Mendieta Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ANGELICA M MENDIETA NURSE PRACTITIONER (NPI 1104613629) is an individual family provider in Milwaukee, Wisconsin, licensed in Wisconsin (16506-33) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Angelica M Mendieta Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Angelica Mendieta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53204
- Reassigned Medicare billing, Wisconsin enrollment
- 147 clinicians in this Medicare group
Greenfield, WI 53228
- Reassigned Medicare billing, Wisconsin enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Angelica Mendieta's NPI number?
The NPI number for Angelica Mendieta is 1104613629. It was assigned to this individual provider in the NPPES registry on April 21, 2025.
Where is Angelica Mendieta located?
Angelica Mendieta practices at 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204. The listed phone number is (414) 672-1353.
What is Angelica Mendieta's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Angelica Mendieta enrolled in Medicare?
Yes. Angelica Mendieta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Angelica Mendieta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angelica Mendieta reassigns Medicare benefits to 2 organizations: 16th Street Community Health Center Inc. (Milwaukee, WI) and Wisconsin Center For Infusion, Sc (Greenfield, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angelica Mendieta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Angelica Mendieta accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 2 other insurers list Angelica Mendieta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Angelica Mendieta was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Angelica M Mendieta, NURSE PRACTITIONER · NPI 1104613629
Family physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since April 21, 2025.
## Identity
- **NPI:** 1104613629 (Entity type: Individual)
- **Enumerated:** April 21, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 16506-33 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1032 S CESAR E CHAVEZ DR, Milwaukee, WI 53204-2203
- **Phone:** (414) 672-1353 · **Fax:** (262) 408-5094
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): 16th Street Community Health Center Inc. (NPI 1417912999, Milwaukee, WI); Wisconsin Center For Infusion, Sc (NPI 1124804026, Greenfield, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104613629) · Data from the CMS NPPES public registry.