Minuteclinic Primary Care Wisconsin LLC
NPI 1104636281ActiveOrganization· Nurse Practitioner, Family· Milwaukee, WI
Nurse Practitioner, Family in Milwaukee, Wisconsin, registered in NPPES in January 2025. The authorized official on file is Deborah Pincince, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104636281 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 10, 2025 |
| Last updated in NPPES | Mar 26, 2026 |
| Certified by provider | Mar 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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