IndividualActive
Angelica Mendieta, NURSE PRACTITIONER
NPI 1104613629 · Nurse Practitioner · Milwaukee, WI
Provider details
- NPI number
- 1104613629
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- Yes
- License
- 16506-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203
Phone: (414) 672-1353
Fax: (262) 408-5094
Street-level locationGet directions
Mailing address
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203
Additional practice locations (4)
- 4570 S 27th StMilwaukee, WI 53221-2145Phone: (414) 672-1353
- 2906 S 20th StMilwaukee, WI 53215-3732Phone: (414) 672-1353
- 1635 W National AveMilwaukee, WI 53204-1130Phone: (414) 672-1353
- 309 E North StWaukesha, WI 53188-3718Phone: (414) 672-1353
Registry dates
- Enumerated
- 2025-04-21
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.