MARYSTELLA ANIDI
NPI 1609509157
Physician Assistant in Milwaukee, WI

Active since July 01, 2022PECOS Enrolled
2906 S 20TH ST, MILWAUKEE, WI 53215(414) 672-1353 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marystella Anidi NPPES

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

MARYSTELLA ANIDI (NPI 1609509157) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (8744-23) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609509157
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARYSTELLA ANIDI
Location Address2906 S 20TH STMilwaukee, WI 53215-3732
Mailing Address1032 S Cesar E Chavez DrMilwaukee, WI 53204-2203 · (414) 672-1353 · Fax (262) 408-5094
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 1, 2022
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1609509157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 8744-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 8744-23 (WI)
2906 S 20TH ST, Milwaukee, WI 53215

Secondary Practice Locations 6

Location 1309 E North StWaukesha, WI 53188-3718 · Phone (414) 672-1353
Location 24570 S 27th StMilwaukee, WI 53221-2145 · Phone (414) 672-1353
Location 31540 Provident DrWarsaw, IN 46580-3291 · Phone (574) 372-5868 · Fax (260) 479-2939
Location 41032 S Cesar E Chavez DrMilwaukee, WI 53204-2203 · Phone (414) 672-1353
Location 53946 Minnesota Ave NEWashington, DC 20019-2661 · Phone (202) 913-7889 · Fax (202) 617-2985
Location 61635 W National AveMilwaukee, WI 53204-1130 · Phone (414) 672-1353

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marystella Anidi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789023474
PECOS Enrollment IDI20260120001675, I20260210002152
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 53215 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
$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.

Ophthalmology
2906 S 20TH ST
MILWAUKEE, WI 53215
Physical Therapist
2906 S 20TH ST
MILWAUKEE, WI 53215
Psychologist
2906 S 20TH ST
MILWAUKEE, WI 53215
Physician Assistant
2906 S 20TH ST
MILWAUKEE, WI 53215
Counselor (Professional)
2906 S 20TH ST
MILWAUKEE, WI 53215
Family Medicine
2906 S 20TH ST
MILWAUKEE, WI 53215
Radiology (Diagnostic Radiology)
2906 S 20TH ST
MILWAUKEE, WI 53215
Student in an Organized Health Care Education/Training Program
2906 S 20TH ST
MILWAUKEE, WI 53215

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 Marystella Anidi's NPI number?

The NPI number for Marystella Anidi is 1609509157. It was assigned to this individual provider in the NPPES registry on July 1, 2022.

Where is Marystella Anidi located?

Marystella Anidi practices at 2906 S 20th St, Milwaukee, WI 53215. The listed phone number is (414) 672-1353.

What is Marystella Anidi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marystella Anidi enrolled in Medicare?

Yes. Marystella Anidi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marystella Anidi was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.