Individual provider Active NPI

Michaella Cariello-Becker, NP

  • Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1669934022
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8011-33 Issued in WI
Practice address
2500 W Layton Ave Ste 30-40
Milwaukee, WI 53221-5420
Phone
(262) 577-0250
Fax
(262) 577-0251
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8011-33 WI Primary

Addresses

Primary practice location

2500 W Layton Ave Ste 30-40
Milwaukee, WI 53221-5420

Mailing address

2500 W Layton Ave
Milwaukee, WI 53221-5420
Phone (262) 577-0250

Other practice location 1

9555 76th St
Pleasant Prairie, WI 53158-1984
Phone (262) 671-7050

Other names 1

  • Michaella Cariello 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
I20190807002411 WI Practitioner - Nurse Practitioner 9638406093 Reassigns benefits to 4 organizations

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
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians
Froedtert South IncGroup PAC ID 9537071196, 158 clinicians

Practice addresses (Care Compare)

7720 S Lovers Lane Rd
Suite 240
Franklin, WI 53132-2295
Phone (877) 448-3627

9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8300

Hospital & facility affiliations

  • Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8011-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Third Coast Vascular SC Nurse Practitioner CurrentSince Jun 1, 2022 Accepting new patients
Froedtert South, Inc. CurrentSince Aug 12, 2024 Accepting new patients
Azh Vascular Center Mke SC CurrentSince Sep 1, 2019 Accepting new patients
Froedtert South, Inc. Past Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner PastSince Jul 17, 2019 Accepting new patients

Locations

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

2500 W Layton Ave
Ste 40
Milwaukee, WI 53221
Phone (262) 577-0250

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

1441 N Taylor Dr
Sheboygan, WI 53081
Phone (262) 577-0250

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25552/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mcariellobecker835352@direct.froedtert.com
  • Direct secure messaging: michaella.cariello-becker.1@25552.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1669934022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215420",
            "telephone_number": "262-577-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE STE 30-40",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215420",
            "telephone_number": "262-577-0250",
            "fax_number": "262-577-0251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9555 76th St",
            "address_purpose": "LOCATION",
            "city": "Pleasant Prairie",
            "state": "WI",
            "postal_code": "531581984",
            "country_code": "US",
            "telephone_number": "262-671-7050",
            "fax_number": "262-671-7055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARIELLO-BECKER",
        "first_name": "MICHAELLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8011-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAELLA",
            "last_name": "CARIELLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.