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

Melanie Diane Mundinger

Individual provider Physician Assistant · NPI 1487537759

Melanie Diane Mundinger is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025

Practice location Address checks out

507 N 17th St
Milwaukee, WI 53233-2104
Phone: (414) 288-5688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 862823 (WI)

Record details

NPI number1487537759
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 25, 2025
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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