Marisol Gandee, APNP
Individual provider Active NPI Nurse Practitioner · Milwaukee, WI
NPI 1700510567 · NPPES record last updated Nov 12, 2025
Key facts
- NPI
- 1700510567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 15744 (WI)
- Practice address
- 9200 W Wisconsin Ave
Milwaukee, WI 53226-3522 - Phone
- (414) 805-8710
- Fax
- (414) 805-1101
- NPI assigned
- Jul 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Columbia St Marys Hospital Milwaukee Inc
The Medical College of Wisconsin Inc
Practice addresses (Care Compare)
2311 N Prospect Ave
Milwaukee, WI 53211-4445
Phone (414) 319-3000
8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666
8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666
Hospital & facility affiliations
- Froedtert Memorial Lutheran Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.21 of 100
- Quality
- 76.88
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 73.83
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230605002494 | TX | Practitioner - Nurse Practitioner | 6002273182 | Reassigns benefits to 1 organization |
| I20240827001874 | WI | Practitioner - Nurse Practitioner | 6002273182 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15744 | WI | MD | Nurse Practitioner |
| AG07220044 | AZ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current |
Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current |
Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Nurse Practitioner | Current |
Accepting new patients |
| The Medical College of Wisconsin, Inc. | Current |
Accepting new patients | |
| Gila River Health Care | Current |
Accepting new patients |
Locations
17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000
48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881
19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Interoperability endpoints
- mgandee956617@direct.froedtert.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 15744 | WI | Yes |
| Gerontology Nurse Practitioner | 363LG0600X | AG07220044 | AZ |
Addresses
Primary practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-8710
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700510567 | Medicaid | WI |
Other providers in Milwaukee, WI
- Thomas Clark Gamblin
- Katrina M Games
- Catherine Sheehan Gamma
- Constance M. Ganapes
- Ramsha Faatima Gandam
- Ranjini B Gandhavadi
- Birva Gandhi
- Devang V Gandhi
- Mihirkumar Gandhi
- Naishalkumar B Gandhi
All providers in Milwaukee, WI · Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.