MISSION HEALTHCARE SERVICES LLC
NPI 1164227401
Nurse Practitioner - Family in Milwaukee, WI

Active since February 19, 2025
4821 N 64TH ST, MILWAUKEE, WI 53218(262) 599-4468 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 30, 2026, Dec 3, 2025, Jul 2, 2025 and 1 more (4 updates tracked since 2025).

About Mission Healthcare Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSION HEALTHCARE SERVICES LLC (NPI 1164227401) is a healthcare organization registered as a family in Milwaukee, Wisconsin and active in the NPI registry since February 2025. The organization maintains a secondary practice location in Glendale and lists Reginald Cephus, Owner, as its authorized official.

NPPES Registry Identity

NPI1164227401
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMISSION HEALTHCARE SERVICES LLC
Location Address4821 N 64TH STMilwaukee, WI 53218-4020
Mailing Address4821 N 64th StMilwaukee, WI 53218-4020 · (262) 599-4468
Organization SubpartNo
Authorized OfficialReginald CephusOwner · (262) 450-5045
Enumeration DateFebruary 19, 2025
Last NPPES UpdateMarch 30, 20264 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1164227401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
4821 N 64TH ST, Milwaukee, WI 53218

Secondary Practice Location 1

Location 15650 N Green Bay AveGlendale, WI 53209-4446 · Phone (262) 450-5045

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mission Healthcare Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mission Healthcare Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1598214223
4821 N 64TH ST
Milwaukee, WI 53218
(262) 450-5045
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mission Healthcare Services LLC's NPI number?

The NPI number for Mission Healthcare Services LLC is 1164227401. It was assigned to this organization in the NPPES registry on February 19, 2025.

Where is Mission Healthcare Services LLC located?

Mission Healthcare Services LLC is located at 4821 N 64th St, Milwaukee, WI 53218. The listed phone number is (262) 599-4468.

What is Mission Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mission Healthcare Services LLC enrolled in Medicare?

Yes. Mission Healthcare Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mission Healthcare Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mission Healthcare Services LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mission Healthcare Services LLC was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.