Individual provider Active NPI

Marika Inga Wrzosek, MD

  • Child & Adolescent Psychiatry Physician
  • Milwaukee, WI
National Provider Identifier
1871751362
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
66219 Issued in WI
Practice address
9000 W Wisconsin Ave
Pediatric Psychiatry
Milwaukee, WI 53226-4874
Phone
(414) 266-2932
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 036.127857 IL
Child & Adolescent Psychiatry Physician 2084P0804X 66219 WI Primary

Addresses

Primary practice location

9000 W Wisconsin Ave
Pediatric Psychiatry
Milwaukee, WI 53226-4874

Mailing address

9000 W Wisconsin Ave
Pediatric Psychiatry
Milwaukee, WI 53226-4874
Phone (414) 266-2932

Other practice location 1

1155 N Mayfair Rd
Wauwatosa, WI 53226-3462
Phone (414) 955-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140707000420 IL Practitioner - Psychiatry 5597910216 Reassigns benefits to 2 organizations
I20171110000382 WI Practitioner - PsychiatryPractitioner - Pediatric Medicine 5597910216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Pediatric Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical College of Wisconsin IncGroup PAC ID 2668384371, 2,092 clinicians

Practice addresses (Care Compare)

1155 N Mayfair Rd
FL 2
Milwaukee, WI 53226-3462
Phone (414) 955-4263

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.127857ILMDChild & Adolescent Psychiatry Physician
66219WIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Medical Center of Illinois Current Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Sep 23, 2017 Accepting new patients
Methodist Medical Center of Illinois Child & Adolescent Psychiatry CurrentSince Jun 1, 2014 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jun 1, 2014 Accepting new patients
Board of Trustees of the University of Illinois CurrentSince Jul 16, 2014 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jul 16, 2014 Accepting new patients
The Medical College of Wisconsin Inc Past Accepting new patients
Children'S Specialty Group, Inc. Past Accepting new patients

Locations

7694 Solutions Ctr
Chicago, IL 60677

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

900 Main St
Ste 500
Peoria, IL 61602
Phone (309) 637-3500

815 Main St
Ste A1
Peoria, IL 61602

1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000

9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Interoperability endpoints

  • Direct secure messaging: mwrzosek51291@direct.chw.org
  • Direct secure messaging: mwrzosekmd205589@direct.froedtert.com

Organizations & group practices 9

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1871751362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE",
            "address_2": "PEDIATRIC PSYCHIATRY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE",
            "address_2": "PEDIATRIC PSYCHIATRY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-2932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 N Mayfair Rd",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532263462",
            "country_code": "US",
            "telephone_number": "414-955-8900",
            "fax_number": "414-955-6285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRZOSEK",
        "first_name": "MARIKA",
        "middle_name": "INGA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036.127857",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "66219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.