Nicole Mubanga, M.D.
NPI 1285976563 · Family Medicine Physician · Milwaukee, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Mubanga, M.D. is a Family Medicine Physician provider in Milwaukee, WI (NPI 1285976563).
Provider details
- NPI number
- 1285976563
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 63433 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
14 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 14 | $85 |
Typical Medicare-allowed amounts for these services range $85–$85 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 29 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 63 | — |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 58 | 12 |
| Amlodipine Besylate | 53 | 20 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 38 | — |
| Tizanidine Hcl | 37 | 12 |
| Prednisone | 35 | 29 |
| Zolpidem Tartrate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$33 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-03-25
- Last updated
- 2025-10-07
- Certified
- 2025-10-07
Frequently asked questions
- What is Nicole Mubanga's NPI number?
- Nicole Mubanga's National Provider Identifier (NPI) is 1285976563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Mubanga's specialty?
- Nicole Mubanga is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nicole Mubanga located?
- Nicole Mubanga's practice location on file with NPPES is 3003 W Good Hope Rd, Milwaukee, WI 53209.
- What is Nicole Mubanga's phone number?
- The practice phone number listed in the NPPES registry for Nicole Mubanga is (414) 352-3100.
- Does Nicole Mubanga accept Medicare?
- Nicole Mubanga is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Mubanga's NPI active?
- Yes — Nicole Mubanga's NPI (1285976563) is active in the NPPES registry as of the last update on 2025-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.