Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942763024 Individual Practitioner Female Practitioner

Dr. Elisa Trimarco Prebble , MD

Pediatrics • Milwaukee, WI

Professional Overview & Biography Verified Profile Summary

Dr. Elisa Prebble, MD is a registered healthcare professional specializing in Pediatrics in Milwaukee, WI. Practice services are available at 1432 W FOREST HOME AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1432 W Forest Home Ave

Milwaukee, WI 532043228

Telephone 4145675400

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
237 Specialists

Practicing in Milwaukee, WI (1245 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-30
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WI 77260

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1942763024 (WI)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Paige Bintz , LCSW

Social Worker - Clinical

NPI 1255059010

Licensed Clinical Social Worker

Chinyere Stevens , MSW, LCSW

Social Worker - Clinical

NPI 1659083475

Master of Social Work, Licensed Clinical Social Worker

NPI 1679919443

Doctor of Medicine (M.D.)

Tyler White , LPC

Counselor - Mental Health

NPI 1780427476

Licensed Professional Counselor

NPI 1871544882

Doctor of Medicine (M.D.)

Kayla Fazzari , LPC

Counselor - Professional

NPI 1891313656

Licensed Professional Counselor

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 30, 2022

Registered at 1432 W FOREST HOME AVE, MILWAUKEE, WI 532043228 (Tel: 4145675400)

📍
Updated Business Mailing Address August 30, 2022

Registered at 1432 W FOREST HOME AVE, MILWAUKEE, WI 532043228 (Tel: 4145675400)

NPI Profile Active April 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2019

Registered at 3100 SW 62ND AVE, MIAMI, FL 331553009 (Tel: 3056695873)

📍
Updated Business Mailing Address April 07, 2019

Registered at 3100 SW 62ND AVE, MIAMI, FL 331553009 (Tel: 3056695873)

👤
Provider Name / Credentials Updated April 07, 2019

Recorded as ELISA PREBBLE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 07, 2019

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: 1942763024
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2019
Last Update: August 30, 2022
Sole Proprietor: No

Mailing Address

1432 W Forest Home Ave

Milwaukee, WI 532043228

Phone: 4145675400

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.