1. Home
  2. Directory
  3. Wisconsin
  4. Milwaukee
  5. Nurse Practitioner
  6. NPI Profile

MINUTECLINIC DIAGNOSTIC OF WISCONSIN, LLC
NPI 1346664216
Nurse Practitioner - Family in Milwaukee, WI

Active since February 12, 2014
1650 N FARWELL AVE, MILWAUKEE, WI 53202(866) 389-2727 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Minuteclinic Diagnostic Of Wisconsin, Llc NPPES

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

MINUTECLINIC DIAGNOSTIC OF WISCONSIN, LLC (NPI 1346664216) is a healthcare organization registered as a family in Milwaukee, Wisconsin and active in the NPI registry since February 2014. The organization lists Deborah Jean Pincince, Administrator, as its authorized official.

NPPES Registry Identity

NPI1346664216
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMINUTECLINIC DIAGNOSTIC OF WISCONSIN, LLC
Location Address1650 N FARWELL AVEMilwaukee, WI 53202-2331
Mailing Address1 Cvs Dr, Mc2295Woonsocket, RI 02895-6146 · (866) 389-2727 · Fax (401) 406-3539
Phone(866) 389-2727
Organization SubpartNo
Authorized OfficialDeborah Jean PincinceAdministrator · (401) 770-3813
Enumeration DateFebruary 12, 2014
Last NPPES UpdateMarch 26, 2020
NPPES CertifiedMarch 26, 2020
✔ NPI 1346664216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1650 N FARWELL AVE, Milwaukee, WI 53202
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2080872

Minuteclinic Diagnostic Of Wisconsin, LLC (clinic #8763) · Milwaukee, WI
Expired · Jul 15, 2026
CLIA Number52D2080872
Laboratory TypeLimited Service Health Ca
Certificate Effective DateJuly 16, 2024
Certificate Expiration DateJuly 15, 2026
Laboratory DirectorPatricia Chavez-Columbo
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic Diagnostic Of Wisconsin, LLC (clinic #8763)1650 N Farwell Ave, Milwaukee, WI 53202
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

WISCONSIN CVS PHARMACY LLC
Pharmacy
1650 N FARWELL AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 277-5054
RONALD SCHMIDT
Nurse Practitioner (Family)
1650 N FARWELL AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 757-1407
KURT SCHAPEKAHM
Pharmacist
1650 N FARWELL AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 277-5054
KELLEN BOWNE
Pharmacist
1650 N FARWELL AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 277-5054
LILLIAN MORENIKE ODUWOLE FNP-BC
Nurse Practitioner
1650 N FARWELL AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 277-5054
JACQUELINE TULOD BROWNSON NP-C
Nurse Practitioner (Family)
1650 N FARWELL AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 277-5054
ZHENI STOYANOVA PHARMD.
Pharmacist
1650 N FARWELL AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 277-5054
DR. MEGAN LO PHARMD
Pharmacist
1650 N FARWELL AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 277-5044

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 Minuteclinic Diagnostic Of Wisconsin, LLC's NPI number?

The NPI number for Minuteclinic Diagnostic Of Wisconsin, LLC is 1346664216. It was assigned to this organization in the NPPES registry on February 12, 2014.

Where is Minuteclinic Diagnostic Of Wisconsin, LLC located?

Minuteclinic Diagnostic Of Wisconsin, LLC is located at 1650 N Farwell Ave, Milwaukee, WI 53202. The listed phone number is (866) 389-2727.

What is Minuteclinic Diagnostic Of Wisconsin, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Minuteclinic Diagnostic Of Wisconsin, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Minuteclinic Diagnostic Of Wisconsin, LLC 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 Minuteclinic Diagnostic Of Wisconsin, LLC was last updated on March 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.