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

Mrs. Angelica M Mendieta, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1104613629

Mrs. Angelica M Mendieta, NURSEPRACTITIONER is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2020, 6 years ago. Practices with 16th Street Community Health Center Inc, a 84-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2025

Practice location Address checks out

1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203
Phone: (414) 672-1353
Fax: (262) 408-5094
Show map & directions

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

Additional practice locations (4)

  • 1635 W National Ave, Milwaukee, WI 53204-1130 — (414) 672-1353
  • 2906 S 20th St, Milwaukee, WI 53215-3732 — (414) 672-1353
  • 4570 S 27th St, Milwaukee, WI 53221-2145 — (414) 672-1353
  • 309 E North St, Waukesha, WI 53188-3718 — (414) 672-1353

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 16506-33 (WI)

Record details

NPI number1104613629
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedApril 21, 2025
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice 16th Street Community Health Center Inc. — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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