NICOLE E MUBANGA M.D.
NPI 1285976563
Family Medicine in Milwaukee, WI
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
Specialties & Licenses 2
Other Identifiers 1
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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Nicole Mubanga reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53209
- Reassigned Medicare billing, Wisconsin enrollment
- 1,615 clinicians in this Medicare group
Milwaukee, WI 53212
- Reassigned Medicare billing, Wisconsin enrollment
- 88 clinicians in this Medicare group
Milwaukee, WI 53212
- Reassigned Medicare billing, Wisconsin enrollment
- 86 clinicians in this Medicare group
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Saint Francis, WI 53235
- Reassigned Medicare billing, Wisconsin enrollment
- 960 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.
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.
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.
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 53209
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 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.
Where is Nicole Mubanga located?
Nicole Mubanga practices at 3003 W Good Hope Rd, Milwaukee, WI 53209. The listed phone number is (414) 352-3100.
What is Nicole Mubanga's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nicole Mubanga enrolled in Medicare?
Yes. Nicole Mubanga 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 Nicole Mubanga's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Mubanga reassigns Medicare benefits to 5 organizations: Aurora Advanced Healthcare, Inc. (Milwaukee, WI), Outreach Community Health Centers, Inc (Milwaukee, WI), Milwaukee Health Services Inc (Milwaukee, WI), Aurora Medical Group, Inc. (Milwaukee, WI) and Lakeshore Medical Clinic, LLC (Saint Francis, 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 Nicole Mubanga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Mubanga accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Nicole Mubanga 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 Nicole Mubanga was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Nicole E Mubanga, M.D. · NPI 1285976563
Family Medicine physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since March 25, 2013.
## Identity
- **NPI:** 1285976563 (Entity type: Individual)
- **Enumerated:** March 25, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 63433 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3003 W GOOD HOPE RD, Milwaukee, WI 53209
- **Phone:** (414) 352-3100
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Aurora Advanced Healthcare, Inc. (NPI 1265629133, Milwaukee, WI); Outreach Community Health Centers, Inc (NPI 1710032669, Milwaukee, WI); Milwaukee Health Services Inc (NPI 1740516186, Milwaukee, WI); Aurora Medical Group, Inc. (NPI 1659599157, Milwaukee, WI); Lakeshore Medical Clinic, LLC (NPI 1003861188, Saint Francis, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 2013
## Record status
- **NPPES last updated:** October 7, 2025
- **Other identifiers:** Medicaid 1285976563 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1285976563) · Data from the CMS NPPES public registry.