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Active NPI 1093071649 Individual Practitioner Female Practitioner

Mae R Mcewan , NP

Nurse Practitioner • Mequon, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mae Mcewan, NP is a certified Nurse Practitioner practicing in Mequon, WI. With approximately 15 years of clinical experience since completing medical education in 2011, Mae Mcewan delivers high-quality medical care to the local community at 12203 CORPORATE PKWY.

Mae Mcewan maintains professional affiliations with Aurora Advanced Healthcare, Inc., Lakeshore Medical Clinic Llc, Aurora Medical Group, Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

12203 Corporate Pkwy

Mequon, WI 530923388

Telephone 2623878202
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mequon, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs +6.3 yrs vs City Avg
City Avg: 8.7 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
33 Specialists

Practicing in Mequon, WI (4030 Statewide)

Telehealth Adoption Rate
12.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcewan (15 Years) 15 Yrs
Mequon Specialty Average (8.7 Years) 8.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-05-28
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 4821

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WI 4821

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100022887 (WI)

Hospital & Practice Group Affiliations

Aurora Advanced Healthcare, Inc.

975 Port Washington Rd, Grafton, WI 530249201

Phone: 2623298000

Aurora Medical Group, Inc.

1020 N 12th St, Milwaukee, WI 532331308

Phone: 4142193056

Lakeshore Medical Clinic Llc

200 E Ryan Rd, Oak Creek, WI 531544563

Phone: 4145703590

Secondary Practice Locations

975 Port Washington Rd

Grafton, WI 530249201

Phone: 2623878202

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
NPI 1053499905

Family Nurse Practitioner

Annette Harris , NP

Nurse Practitioner

NPI 1053839571

Nurse Practitioner

Pamela Lee , CDE

Registered Nurse - Diabetes Educator

NPI 1063680593

Certified Diabetes Educator

Dr. Shawn Patel , DO

Family Medicine

NPI 1073008025

Doctor of Osteopathic Medicine (D.O.)

NPI 1093817496

Doctor of Medicine (M.D.)

Dr. Norine Nazareth , MD

Internal Medicine

NPI 1104856244

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address May 28, 2025

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2025

Nurse Practitioner (License #4821 in WI)

📍
Updated Practice Location March 12, 2025

Registered at 12203 CORPORATE PKWY, MEQUON, WI 530923388 (Tel: 2623878202)

📍
Updated Business Mailing Address March 12, 2025

Registered at 12203 CORPORATE PKWY, MEQUON, WI 530923388 (Tel: 2623878202)

NPI Profile Active April 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2012

Registered at 945 N 12TH ST, STE 2110, MILWAUKEE, WI 532331305 (Tel: 4142196809)

📍
Updated Business Mailing Address April 09, 2012

Registered at 945 N 12TH ST, STE 2110, MILWAUKEE, WI 532331305 (Tel: 4142196809)

👤
Provider Name / Credentials Updated April 09, 2012

Recorded as MAE MCEWAN, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2012

Nurse Practitioner (License #4821 in WI)

🟢
Initial NPI Registration & Enumeration April 09, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093071649
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2012
Last Update: May 28, 2025
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.