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

Mary Alice Muth, APNP

Individual provider Nurse Practitioner · NPI 1669577482

Mary Alice Muth, APNP is a Nurse Practitioner in New Berlin, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2005, 21 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
21
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

13750 W National Ave Prohealth Care Medical Associates Inc
New Berlin, WI 53151-4588
Phone: (262) 789-1699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2862-033 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 126341-30 (WI)

Record details

NPI number1669577482
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJanuary 7, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Prohealth Medical Group Inc — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in New Berlin