MYLES D MAXWELL RN
NPI 1295567477
Nurse Anesthetist, Certified Registered in Pleasant Prairie, WI

Q: What is Myles Maxwell's NPI number?

The NPI number for Myles Maxwell is 1295567477. It was assigned to this individual provider in the NPPES registry on August 16, 2024.

Q: What is Myles Maxwell's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Myles Maxwell was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 16, 2024PECOS Enrolled

9555 76TH ST, PLEASANT PRAIRIE, WI 53158(262) 577-8000 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 29, 2026, Jul 7, 2026, Aug 16, 2024 (3 updates tracked since 2024).

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About Myles D Maxwell Rn NPPES

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

MYLES D MAXWELL RN (NPI 1295567477) is an individual nurse anesthetist, certified registered in Pleasant Prairie, Wisconsin, licensed in Wisconsin (260639-30) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1295567477

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMYLES D MAXWELLCredential: RN

Location Address9555 76TH STPleasant Prairie, WI 53158-1984

Mailing Address700 E Kilbourn Ave Apt 911Milwaukee, WI 53202-3790 · (608) 774-6509

Phone(262) 577-8000

Sole ProprietorYes

Medical School CMSOtherGraduated 2026

Enumeration DateAugust 16, 2024

Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1295567477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in WI · 260639-30

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 260639 (WI)

9555 76TH ST, Pleasant Prairie, WI 53158

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myles D Maxwell Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42778128

PECOS Enrollment IDI20260819001102

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 Reassignment

Medicare enrollment records show Myles Maxwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vituity-Wisconsin Anesthesia Sc

Same address

Anesthesiology

9555 76TH ST
Pleasant Prairie, WI 53158

Reassigned Medicare billing, Wisconsin enrollment
210 clinicians in this Medicare group

NPI 1821831975 (262) 577-8000

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 53158 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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.

FROEDTERT SOUTH, INC.

General Acute Care Hospital