Organization Active NPI

Mynp Professionals, LLC

  • Primary Care Clinic/Center
  • Brown Deer, WI
National Provider Identifier
1285173559
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MYNP PROFESSIONALS, LLC
Practice address
5050 W Brown Deer Rd
Brown Deer, WI 53223-2424
Phone
(414) 874-5000
Fax
(414) 433-1852
NPI assigned
Feb 19, 2017
Last updated
Sep 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rosalyn Lakey McFarlandNPI 1821245028
Title
Ceo/NP
Phone
(414) 874-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

5050 W Brown Deer Rd
Brown Deer, WI 53223-2424

Mailing address

5050 W Brown Deer Rd
Brown Deer, WI 53223-2424
Phone (414) 308-9468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170605001091 WI Part B Supplier - Clinic/Group Practice 8123395688 Receives reassigned benefits from 1 practitioner
Practice locations: Brown Deer, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2134268Mynp Professionals, LLC5050 West Brown Deer Road, Brown Deer, WI 53223Certificate of waiverDec 26, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1285173559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 W BROWN DEER RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232424",
            "telephone_number": "414-308-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 W BROWN DEER RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232424",
            "telephone_number": "414-874-5000",
            "fax_number": "414-433-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYNP PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-19",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_middle_name": "LAKEY",
        "authorized_official_title_or_position": "CEO/NP",
        "authorized_official_telephone_number": "414-874-5000"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown Deer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.