NINAH DIVINE MD
NPI 1174104590
Family Medicine in Milwaukee, WI
About Ninah Divine Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NINAH DIVINE MD (NPI 1174104590) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (84297-20) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ninah Divine Md 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.
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
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 Ninah Divine's NPI number?
The NPI number for Ninah Divine is 1174104590. It was assigned to this individual provider in the NPPES registry on April 16, 2021.
Where is Ninah Divine located?
Ninah Divine practices at 930 W Historic Mitchell St, Milwaukee, WI 53204. The listed phone number is (414) 383-9526.
What is Ninah Divine's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ninah Divine enrolled in Medicare?
Yes. Ninah Divine 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.
What insurance does Ninah Divine accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health, Quartz and UnitedHealthcare list Ninah Divine 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 Ninah Divine was last updated on July 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.