Active NPI
Monica B Musete, MD
- Pediatrics Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 61077-20
- Practice address
- 3201 S 16TH St Ste 1020
Milwaukee, WI 53215-4532 - Phone
- (414) 643-7337
- Fax
- (920) 563-7705
- NPI assigned
- Jun 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 61077-20 | WI | Primary |
| Pediatrics Physician | 208000000X | 2012020346 | MO |
Addresses
Primary practice location
3201 S 16TH St Ste 1020
Milwaukee, WI 53215-4532
Mailing address
3201 S 16TH St Ste 1020
Milwaukee, WI 53215-4532
Phone (414) 643-7337
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431560263 | Other | MO | TRICARE |
| P01085141 | Other | MO | MCR RR |
| 193620001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61077-20 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Pediatrics LLC | Pediatrics | Current | Accepting new patients |
| Samir Mullick MD SC | Pediatrics | Current | Accepting new patients |
| St Francs Pediatrics | Pediatrics | Current | Accepting new patients |
| Fort Healthcare Inc | Current | Accepting new patients | |
| Fort Healthcare Inc | Current | Accepting new patients |
Locations
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
500 McMillen St
Fort Atkinson, WI 53538
Phone (920) 563-5571
3440 S 27th St
Milwaukee, WI 53215
Phone (414) 384-2900
3201 S 16th St
Ste 1020
Milwaukee, WI 53215
Phone (414) 643-7337
4267 W Fond du Lac Ave
Milwaukee, WI 53216
Phone (414) 873-3440
3201 S 16th St
Ste 100
Milwaukee, WI 53215
Phone (414) 647-5203
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1275897019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 S 16TH ST STE 1020",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154532",
"telephone_number": "414-643-7337",
"fax_number": "414-643-1766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 S 16TH ST STE 1020",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154532",
"telephone_number": "414-643-7337",
"fax_number": "920-563-7705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSETE",
"first_name": "MONICA",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-26",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "61077-20",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2012020346",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "431560263",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR RR",
"identifier": "P01085141",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193620001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.