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MONICA B MUSETE MD
NPI 1275897019
Pediatrics in Milwaukee, WI

Active since June 26, 2012PECOS Enrolled
3201 S 16TH ST STE 1020, MILWAUKEE, WI 53215(414) 643-7337(920) 563-7705 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 19, 2020, Aug 7, 2018 (2 updates tracked since 2018).

About Monica B Musete Md NPPES

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

MONICA B MUSETE MD (NPI 1275897019) is an individual pediatrics provider in Milwaukee, Wisconsin, licensed in Wisconsin (61077-20) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275897019
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMONICA B MUSETECredential: MD
Location Address3201 S 16TH ST STE 1020Milwaukee, WI 53215-4532
Mailing Address3201 S 16th St Ste 1020Milwaukee, WI 53215-4532 · (414) 643-7337 · Fax (414) 643-1766
Phone(414) 643-7337
Fax(920) 563-7705
Sole ProprietorNo
Enumeration DateJune 26, 2012
Last NPPES UpdateOctober 19, 20202 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1275897019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WI · 61077-20✔ Licensed in MO · 2012020346
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3201 S 16TH ST STE 1020, Milwaukee, WI 53215
Open in Google Maps ↗

Other Identifiers 3

Medicaid193620001AR
Other431560263MO · Tricare
OtherP01085141MO · Mcr Rr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monica B Musete Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Monica Musete reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Samir Mullick MD Sc
6.8 mi
Pediatrics
4267 W FOND DU LAC AVE
Milwaukee, WI 53216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 5 clinicians in this Medicare group
NPI 1235182221 (414) 873-3440
Fort Healthcare Inc
45 mi
Rural Health
611 SHERMAN AVE E
Fort Atkinson, WI 53538
  • Reassigned Medicare billing, Wisconsin enrollment
  • 298 clinicians in this Medicare group
NPI 1417450115 (920) 563-5571

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 53215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST FRANCIS PEDIATRICS LLC
Pediatrics
3201 S 16TH ST STE 1020
MILWAUKEE, WI 53215
Milwaukee County (414) 643-7337

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 Monica Musete's NPI number?

The NPI number for Monica Musete is 1275897019. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Monica Musete located?

Monica Musete practices at 3201 S 16th St Ste 1020, Milwaukee, WI 53215. The listed phone number is (414) 643-7337.

What is Monica Musete's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Monica Musete enrolled in Medicare?

Yes. Monica Musete is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Monica Musete's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Musete reassigns Medicare benefits to 2 organizations: Samir Mullick MD Sc (Milwaukee, WI) and Fort Healthcare Inc (Fort Atkinson, 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 Monica Musete's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Musete accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Monica Musete 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 Monica Musete was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.