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Marissa Veronica Medina

Driver β€’ Milwaukee, WI

Active NPI 1992580997 Individual Practitioner Female Practitioner
Practice location in NPPES

2201 N Cambridge Ave
Milwaukee, WI 532021047

Call 4149491040 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2201 N Cambridge Ave

Milwaukee, WI 532021047

Telephone 4149491040
Organization at the Same NPPES Address or Phone
Saving Our Survivors S.o.s Facility NPI 1003357807

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Milwaukee and Wisconsin

158 active clinicians are listed under Driver with a practice address in Milwaukee, WI (253 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Milwaukee

0% of these 158 clinicians have the CMS telehealth indicator.

0% of these 158 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-27
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location March 27, 2026

Registered at 2201 N CAMBRIDGE AVE, MILWAUKEE, WI 532021047 (Tel: 4149491040)

πŸ“
Updated Business Mailing Address March 27, 2026

Registered at 777 N JEFFERSON ST STE 408, MILWAUKEE, WI 532023875 (Tel: 4149491040)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2026

Driver

πŸ“
Updated Practice Location December 16, 2025

Registered at 10521 W GREENWOOD TER, MILWAUKEE, WI 532243721 (Tel: 4143730477)

πŸ“
Updated Business Mailing Address December 16, 2025

Registered at 10521 W GREENWOOD TER, MILWAUKEE, WI 532243721 (Tel: 4143730477)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2025

Non-emergency Medical Transport (VAN)

βœ…
NPI Profile Active August 28, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 28, 2023

Registered at 3842 N 68TH ST, MILWAUKEE, WI 532162010 (Tel: 4144997363)

πŸ“
Business Mailing Address (Initial Record) August 28, 2023

Registered at 3842 N 68TH ST, MILWAUKEE, WI 532162010 (Tel: 4144997363)

πŸ‘€
Provider Name / Credentials (Initial Record) August 28, 2023

Recorded as MARISSA MEDINA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2023

Driver

🟒
Initial NPI Registration & Enumeration August 28, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992580997
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2023
Last Update: March 27, 2026
Sole Proprietor: No

Mailing Address

777 N Jefferson St Ste 408

Milwaukee, WI 532023875

Phone: 4149491040

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.