DANIEL PRIFTI
NPI 1639676836
Nurse Practitioner in Milwaukee, WI

Active since April 12, 2018PECOS EnrolledAccepts Medicare Assignment
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215(414) 489-4190 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2024, Mar 7, 2021, Apr 12, 2018 (3 updates tracked since 2018).

About Daniel Prifti NPPES

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

DANIEL PRIFTI (NPI 1639676836) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in New York (308616) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1639676836
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDANIEL PRIFTI
Location Address2900 W OKLAHOMA AVEMilwaukee, WI 53215-4330
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 12, 2018
Last NPPES UpdateDecember 31, 20243 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
NPI 1639676836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · 308616
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2900 W OKLAHOMA AVE, Milwaukee, WI 53215

Secondary Practice Location 1

Location 11 Gustave L Levy Pl Fl 12New York, NY 10029-6574 · Phone (212) 241-5581

Other Identifiers 1

Medicaid100295472WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Daniel Prifti 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.

PECOS PAC ID42668642
PECOS Enrollment IDI20241120001232
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

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
$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 20

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

Clinic/Center (Primary Care)
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Anesthesiology
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Hospitalist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Physician Assistant
2900 W OKLAHOMA AVE, 5TH FLOOR GALLERIA
MILWAUKEE, WI 53215
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Physical Therapist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Pharmacist
2900 W OKLAHOMA AVE
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 Daniel Prifti's NPI number?

The NPI number for Daniel Prifti is 1639676836. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Daniel Prifti located?

Daniel Prifti practices at 2900 W Oklahoma Ave, Milwaukee, WI 53215. The listed phone number is (414) 489-4190.

What is Daniel Prifti's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Daniel Prifti enrolled in Medicare?

Yes. Daniel Prifti 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.

What insurance does Daniel Prifti accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and Quartz list Daniel Prifti 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.

Is Daniel Prifti affiliated with any hospitals?

According to CMS data, Daniel Prifti is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Prifti was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.