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CHARLOTTE FORMELLER
NPI 1487210076
Pediatrics in Milwaukee, WI

Active since May 20, 2019PECOS Enrolled
9000 W WISCONSIN AVENUE, MILWAUKEE, WI 53226(414) 337-7050(414) 337-7020 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2024, May 18, 2023, May 8, 2023 and 2 more (5 updates tracked since 2019).

About Charlotte Formeller NPPES

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

CHARLOTTE FORMELLER (NPI 1487210076) is an individual pediatrics provider in Milwaukee, Wisconsin, licensed in Wisconsin (76538) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1487210076
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCHARLOTTE FORMELLER
Location Address9000 W WISCONSIN AVENUEMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin AvenueMilwaukee, WI 53226-4874 · (414) 337-7050 · Fax (414) 337-7020
Phone(414) 337-7050
Fax(414) 337-7020
Sole ProprietorNo
Enumeration DateMay 20, 2019
Last NPPES UpdateApril 5, 20245 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
✔ NPI 1487210076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 76538
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.
Also ListedHospitalistTaxonomy 208M00000X · License 76538 (WI)
9000 W WISCONSIN AVENUE, Milwaukee, WI 53226
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Other Names 1

Former Name (1)Charlotte Mcsharry

Secondary Practice Location 1

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-5800 · Fax (414) 805-8097

Other Identifiers 1

Medicaid1487210076WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlotte Formeller 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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 14

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

CAROLINE WELLS MALONEY
Surgery (Pediatric Surgery)
9000 W WISCONSIN AVENUE, PEDIATRIC SURGERY
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6550
MEGAN MARIE JABLONSKI MD
Anesthesiology (Pediatric Anesthesiology)
9000 W WISCONSIN AVENUE, PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 266-3560
MRS. ALINA GEORGETA BUREK MD
Pediatrics
9000 W WISCONSIN AVENUE, PEDIATRIC HOSPITALIST DIVISION
MILWAUKEE, WI 53226
Milwaukee County (414) 337-7050
JANETTE F STRASBURGER MD
Pediatrics (Pediatric Cardiology)
9000 W WISCONSIN AVENUE, PEDIATRIC CARDIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6457
CINDY SCHWARTZ MD
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVENUE, PEDIATRIC HEMATOLOGY AND ONCOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4170
HANNAH BRODNER MS, CGC
Genetic Counselor, MS
9000 W WISCONSIN AVENUE, PEDIATRIC GENETICS
MILWAUKEE, WI 53226
Milwaukee County (414) 266-3347
RACHEL A. CAMBRAY M.D.
Anesthesiology (Pediatric Anesthesiology)
9000 W WISCONSIN AVENUE, PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 266-3560
DR. MICHAEL AUSTIN HOKENSON M.D.
Pediatrics (Neonatal-Perinatal Medicine)
9000 W WISCONSIN AVENUE, DIVISION OF NEONATOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6820

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 Charlotte Formeller's NPI number?

The NPI number for Charlotte Formeller is 1487210076. It was assigned to this individual provider in the NPPES registry on May 20, 2019. The provider is also known as Charlotte Mcsharry.

Where is Charlotte Formeller located?

Charlotte Formeller practices at 9000 W Wisconsin Avenue, Milwaukee, WI 53226. The listed phone number is (414) 337-7050.

What is Charlotte Formeller's specialty?

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

Is Charlotte Formeller enrolled in Medicare?

Yes. Charlotte Formeller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charlotte Formeller was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.