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

Mrs. Melissajo Truckenbrod, APNP

Individual provider Family Medicine Physician · NPI 1922873850

Mrs. Melissajo Truckenbrod, APNP is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2023, 3 years ago. Practices with Columbia St Marys Hospital Milwaukee Inc, a 314-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
Specialties on file
6
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Practice location Address checks out

2311 N Prospect Ave
Milwaukee, WI 53211-4445
Phone: (414) 319-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 14583-33 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 14583-33 (WI)
Adolescent Medicine (Family Medicine) Physician Taxonomy 207QA0000X · Licence 14583-33 (WI)
Adult Medicine Physician Taxonomy 207QA0505X · Licence 14583-33 (WI)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 14583-33 (WI)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 14583-33 (WI)

Record details

NPI number1922873850
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedNovember 21, 2023
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Columbia St Marys Hospital Milwaukee Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Milwaukee