Individual provider Active NPI

Jacqueline S Mlsna, MD

  • Orthopaedic Surgery Physician
  • Wauwatosa, WI
National Provider Identifier
1710972096
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
29485 Issued in WI
Practice address
2500 N Mayfair Rd
Suite 500
Wauwatosa, WI 53226-1409
Phone
(414) 257-2525
Fax
(414) 257-1772
NPI assigned
Sep 13, 2005
Last updated
Feb 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 29485 WI Primary

Addresses

Primary practice location

2500 N Mayfair Rd
Suite 500
Wauwatosa, WI 53226-1409

Mailing address

2500 N Mayfair Rd
Suite 500
Wauwatosa, WI 53226-1409
Phone (414) 257-2525

Other identifiers 1

IdentifierTypeStateIssuer
31831600MedicaidWI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100803000631 WI Practitioner - Orthopedic Surgery 7012985526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisconsin Bone and Joint S CGroup PAC ID 9234107749, 21 clinicians

Practice addresses (Care Compare)

2500 N Mayfair Rd
Suite 500
Wauwatosa, WI 53226-1415
Phone (414) 257-2525

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29485WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Bone & Joint S C Orthopaedic Surgery CurrentSince Jul 31, 1992 Accepting new patients
Wisconsin Bone & Joint S C Orthopaedic Surgery CurrentSince Jul 31, 1992 Accepting new patients

Locations

525 W River Woods Pkwy
Ste 130
Glendale, WI 53212
Phone (414) 961-0304

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

2500 N Mayfair Rd
Ste 500
Wauwatosa, WI 53226
Phone (414) 257-1772

2500 N Mayfair Rd
Ste 550
Wauwatosa, WI 53226
Phone (414) 257-2525

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1710972096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD",
            "address_2": "SUITE 500",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261409",
            "telephone_number": "414-257-2525",
            "fax_number": "414-257-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD",
            "address_2": "SUITE 500",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261409",
            "telephone_number": "414-257-2525",
            "fax_number": "414-257-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLSNA",
        "first_name": "JACQUELINE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "29485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31831600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.