Wellington Provider Group PC
NPI 1720784242 · Family Medicine Physician · Milwaukee, WI
Wellington Provider Group PC is a Family Medicine Physician organization in Milwaukee, WI (NPI 1720784242).
Provider details
- NPI number
- 1720784242
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wellington Provider Group PC
- Organization subpart
- Yes
- Authorized official
- Mariela Bravo, Credentialing Specialist(859) 518-8817
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2023-02-06
- Last updated
- 2023-02-06
- Certified
- 2023-02-06
Frequently asked questions
- What is Wellington Provider Group PC's NPI number?
- Wellington Provider Group PC's National Provider Identifier (NPI) is 1720784242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellington Provider Group PC?
- Wellington Provider Group PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wellington Provider Group PC located?
- Wellington Provider Group PC's practice location on file with NPPES is 1433 N Water St Ste 400, Milwaukee, WI 53202-2603.
- What is Wellington Provider Group PC's phone number?
- The practice phone number listed in the NPPES registry for Wellington Provider Group PC is (859) 518-8817.
- Who is the authorized official for Wellington Provider Group PC?
- The authorized official listed on Wellington Provider Group PC's NPPES record is Mariela Bravo, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wellington Provider Group PC's NPI active?
- Yes — Wellington Provider Group PC's NPI (1720784242) is active in the NPPES registry as of the last update on 2023-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.