Carenexus SC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

CARENEXUS SC

Practice address

1433 N Water St Ste 400
Milwaukee, WI 53202-2603

Phone

(414) 207-4601

NPI assigned

Dec 3, 2025

Organization subpart

No

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

Authorized official

Name

Pan Li, PA-C

Title

Owner

Phone

(517) 575-8953

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1508729005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 N MILWAUKEE ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 N WATER ST STE 400",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022603",
            "telephone_number": "414-207-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARENEXUS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "PAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-575-8953",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.