NICOLE E MUBANGA M.D.
NPI 1285976563
Family Medicine in Milwaukee, WI

Q: What is Nicole Mubanga's NPI number?

The NPI number for Nicole Mubanga is 1285976563. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Q: What is Nicole Mubanga's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Mubanga was last updated on October 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2013PECOS EnrolledAccepts Medicare Assignment

3003 W GOOD HOPE RD, MILWAUKEE, WI 53209(414) 352-3100 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 7, 2025, Nov 24, 2021, Sep 11, 2019 and 4 more (7 updates tracked since 2016).

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About Nicole E Mubanga M.d. NPPES

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

NICOLE E MUBANGA M.D. (NPI 1285976563) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (63433) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2013).

NPPES Registry Identity

NPI1285976563

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNICOLE E MUBANGACredential: M.D.

Location Address3003 W GOOD HOPE RDMilwaukee, WI 53209

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(414) 352-3100

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2013

Enumeration DateMarch 25, 2013

Last NPPES UpdateOctober 7, 20257 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1285976563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 63433

Definition

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 63433-20 (WI)

3003 W GOOD HOPE RD, Milwaukee, WI 53209

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Other Identifiers 1

Medicaid1285976563WI

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole E Mubanga M.d. 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.

PECOS PAC ID8527285030

PECOS Enrollment IDI20161007000817

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53209 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 20

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

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