Individual provider Active NPI

Miranda Uhen, APNP, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1295518520
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
14404-33 Issued in WI
Practice address
10200 W Innovation Dr Ste 400
Milwaukee, WI 53226-4826
Phone
(866) 216-5708
NPI assigned
Aug 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 14404-33 WI Primary

Addresses

Primary practice location

10200 W Innovation Dr Ste 400
Milwaukee, WI 53226-4826

Mailing address

N8653 Wilmers Grove Rd
East Troy, WI 53120-2018
Phone (262) 822-7208

Other names 1

  • Miranda Reinke Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231114002756 WI Practitioner - Nurse Practitioner 9931556883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians

Practice addresses (Care Compare)

Milwaukee, WI 53226
Phone (414) 944-2038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Oct 3, 2023 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Oct 31, 2023 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Oct 31, 2023 Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

L2540
Columbus, OH 43260

1335 S Oneida St
Appleton, WI 54915
Phone (920) 731-6646

10200 W Innovation Dr
Ste 400
Wauwatosa, WI 53226
Phone (414) 944-2000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1295518520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N8653 WILMERS GROVE RD",
            "city": "EAST TROY",
            "state": "WI",
            "postal_code": "531202018",
            "telephone_number": "262-822-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 W INNOVATION DR STE 400",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264826",
            "telephone_number": "866-216-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UHEN",
        "first_name": "MIRANDA",
        "credential": "APNP, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "14404-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "REINKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.