Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maritza Pallo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1285367474

Maritza Pallo is a Physician Assistant in Wauwatosa, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2023, 3 years ago. Practices with 16th Street Community Health Center Inc, a 84-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1756 N 74th St
Wauwatosa, WI 53213-2218
Phone: (414) 514-5897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7459-23 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1285367474
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 5, 2022
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice 16th Street Community Health Center Inc. — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wauwatosa