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

Melanie Custer, MD

Individual provider Pediatrics Physician · NPI 1053686493

Melanie Custer, MD is a Pediatric Medicine in West Bend, Wisconsin. Qualified in 2011, 15 years ago. Practices with Deaconess Clinic Inc, a 409-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
15
Licensed in
WI
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

611 Veterans Ave Unit 106
West Bend, WI 53090-2559
Phone: (262) 353-4460
Fax: (262) 353-4461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 120 Se 4th St, Evansville, IN 47708-1607 — (812) 426-9480
  • 545 S Boehne Camp Rd, Evansville, IN 47712-3703 — (812) 426-9480
  • 4209 Gateway Blvd, Newburgh, IN 47630-8900 — (812) 842-2800

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 70643-20 (WI)

Record details

NPI number1053686493
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2012
Last updated in NPPESFebruary 9, 2021
Certification dateFebruary 9, 2021
Mailing address103 Financial Pl, Suite 100, Elizabethtown, KY 42701-4470

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Deaconess Clinic Inc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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