IndividualActive

Nicole Maldonado, PA-C

NPI 1356620132 · Physician Assistant · Milwaukee, WI

Provider details

NPI number: 1356620132
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Female
Sole proprietor: No
License: 2818 (WI)

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense 2818 (WI)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(70/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure25% of score
14 yrs in NPPES registry
Profile completeness25% of score
100% of core fields populated
Practice footprint15% of score
4 documented practice locations
Medicare service volume (vs. specialty peers)25% of score
67 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214	22	$77
Telephone Medical Discussion With Physician, 11-20 Minutes99442	21	$72
Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213	12	$52
Telephone Medical Discussion With Physician, 11-20 Minutes99442	12	$52

Typical Medicare-allowed amounts for these services range $52–$77 (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.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$135 across 5 records (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

9200 W Wisconsin Ave

Milwaukee, WI 53226-3522

Phone: (414) 805-3750

Fax: (414) 259-9290

Street-level locationGet directions

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Mailing address