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

Nicole E Mubanga, MD

Individual provider Family Medicine Physician · NPI 1285976563

Nicole E Mubanga, MD is a Family Practice in Milwaukee, Wisconsin. Graduated from Medical College of Wisconsin in 2013, 13 years ago. Practices with Outreach Community Health Centers Inc, a 52-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
13
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2013
Specialties on file
2
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

3003 W Good Hope Rd
Milwaukee, WI 53209
Phone: (414) 352-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 63433 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 63433-20 (WI)

Record details

NPI number1285976563
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2013
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2013 (13 years in practice)
Group practice Outreach Community Health Centers Inc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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