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MIRLEY BUJAN CARRENO MD
NPI 1902648751
Family Medicine in Milwaukee, WI

Active since June 12, 2024PECOS Enrolled
2400 W VILLARD AVE, MILWAUKEE, WI 53209(414) 527-8415 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mirley Bujan Carreno Md NPPES

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

MIRLEY BUJAN CARRENO MD (NPI 1902648751) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (100787-851) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902648751
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMIRLEY BUJAN CARRENOCredential: MD
Location Address2400 W VILLARD AVEMilwaukee, WI 53209-4901
Mailing Address5905 N Lydell Ave Unit 502Milwaukee, WI 53217-4598 · (760) 996-8548
Phone(414) 527-8415
Sole ProprietorYes
Enumeration DateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1902648751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 100787-851
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2400 W VILLARD AVE, Milwaukee, WI 53209
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirley Bujan Carreno Md 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 53209 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.

MS. LAURA M GOTTSCHLICH DO
Family Medicine
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8191
MARY C MORRISON SOCIAL WORKER
Case Manager/Care Coordinator
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8348
DR. CHUNG VAN DAO M.D.
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8191
BRYAN JOHNSTON
Family Medicine
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8348
DR. ALYSSA NICOLE FAIRSERVICE MD
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8191
DR. SADAF DIDI JIWAN M.D.
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8348
DR. ROBIN L HELM MD
Family Medicine
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8191
DR. MAGGIE ELIZABETH WALSH MD
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8191

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 Mirley Bujan Carreno's NPI number?

The NPI number for Mirley Bujan Carreno is 1902648751. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Mirley Bujan Carreno located?

Mirley Bujan Carreno practices at 2400 W Villard Ave, Milwaukee, WI 53209. The listed phone number is (414) 527-8415.

What is Mirley Bujan Carreno's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mirley Bujan Carreno enrolled in Medicare?

Yes. Mirley Bujan Carreno is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mirley Bujan Carreno was last updated on June 12, 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.