Individual provider Active NPI

Patricia L Missall, NP

  • Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1932203932
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
223933 Issued in WI
Practice address
3237 S 16TH St
Suite 210
Milwaukee, WI 53215-4526
Phone
(414) 384-6700
Fax
(414) 384-3008
NPI assigned
Sep 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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 223933 WI Primary

Addresses

Primary practice location

3237 S 16TH St
Suite 210
Milwaukee, WI 53215-4526

Mailing address

3077 N Mayfair Rd Ste 305
Wauwatosa, WI 53222-4305
Phone (414) 384-6700

Other identifiers 1

IdentifierTypeStateIssuer
43982500MedicaidWI

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
I20101228000327 WI Practitioner - Nurse Practitioner 7810185386 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011

7095 S Ballpark Dr
Suite 100
Franklin, WI 53132-6908
Phone (414) 817-6620

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223933WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgeons of Wisconsin, S.C. Nurse Practitioner CurrentSince Jan 1, 2004 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince Aug 27, 2020 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC Current Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Sep 30, 2023 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Sep 30, 2023 Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

17000 W Bluemound Rd
Ste L
Brookfield, WI 53005
Phone (262) 207-4680

7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620

9969 S 27th St
#1100
Franklin, WI 53132

3111 W Rawson Ave
Ste 215
Franklin, WI 53132
Phone (414) 761-0727

3111 W Rawson Ave
Ste 200
Franklin, WI 53132
Phone (414) 325-4320

2500 W Layton Ave
Ste 160
Milwaukee, WI 53221
Phone (414) 389-3023

3237 S 16th St
Ste 210
Milwaukee, WI 53215
Phone (414) 643-4020

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

3077 N Mayfair Rd
Ste 100
Wauwatosa, WI 53222
Phone (414) 771-5900

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

2323 N Mayfair Rd
Ste 300
Wauwatosa, WI 53226
Phone (414) 443-9862

3077 N Mayfair Rd
Ste 305
Wauwatosa, WI 53222
Phone (414) 258-3500

Organizations & group practices 5

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1932203932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 N MAYFAIR RD STE 305",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224305",
            "telephone_number": "414-384-6700",
            "fax_number": "414-727-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 S 16TH ST",
            "address_2": "SUITE 210",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154526",
            "telephone_number": "414-384-6700",
            "fax_number": "414-384-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSALL",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "223933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43982500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.