Myrna Leal · Nurse Practitioner

1220 Dewey Ave, Wauwatosa, WI 53213-2504

Overview

Myrna Leal is a Nurse Practitioner practicing in Wauwatosa, Wisconsin. The National Provider Identifier (NPI) is #1497611008, which was assigned on December 27, 2025, and the registration record was last updated on May 19, 2026. The practitioner's main practice location is at 1220 Dewey Ave, Wauwatosa, WI 53213-2504; the contact telephone number is 4144546600. The primary taxonomy of Myrna Leal is Nurse Practitioner (363L00000X). Myrna Leal is licensed to practice in the state of Wisconsin (#1745133), Wisconsin (#17451-33).

(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.

Provider Information

NPI 1497611008
Entity Type Individual
Provider Name MYRNA LEAL
Gender Female
Credential PMHNP-BC, APNP
Practice Address 1220 Dewey Ave
Wauwatosa
WI 53213-2504
Practice Telephone 4144546600
Mailing Address Po Box 735044
Chicago
IL 60673-5044
Mailing Telephone 8003262250
Certification Date 2026-05-19
Enumeration Date 2025-12-27
Last Update Date 2026-05-19
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N363LP0808XNurse PractitionerPsychiatric/Mental Health1745133WI
Y363L00000XNurse Practitioner17451-33WI

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
100409787WIMEDICAID

Taxonomy Information

Primary Taxonomy

Code 363L00000X
Taxonomy Nurse Practitioner
Classification Nurse Practitioner
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: (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.
Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Other Taxonomy

Code 363LP0808X
Taxonomy Psychiatric/Mental Health Nurse Practitioner
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

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Location Information

Street Address 1220 DEWEY AVE
City WAUWATOSA
State WI
Zip Code 53213-2504
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Christine D Schubring 1220 Dewey Ave, Wauwatosa, WI 53213-2504Nurse Practitioner2019-09-17
Elizabeth M Ullig 1220 Dewey Ave, Wauwatosa, WI 53213-2504Psychiatric/Mental Health Nurse Practitioner2018-12-17
Hishita Parikh 1220 Dewey Ave, Wauwatosa, WI 53213-2504Addiction Medicine (Family Medicine) Physician2014-04-15
Tess C Richerson 1220 Dewey Ave, Wauwatosa, WI 53213-2504Registered Nurse2022-10-25
Lauren Elizabeth Ranke 1220 Dewey Ave, Wauwatosa, WI 53213-2504Psychiatric/Mental Health Nurse Practitioner2024-07-11
Taylor C Klug 1220 Dewey Ave, Wauwatosa, WI 53213-2504Physician Assistant2024-08-22
Brooke E Muggenthaler 1220 Dewey Ave, Wauwatosa, WI 53213-2504Professional Counselor2019-07-26
John J Basich 1220 Dewey Ave, Wauwatosa, WI 53213-2504Nurse Practitioner2022-12-13
Frances Clouse 1220 Dewey Ave, Wauwatosa, WI 53213-2504Pharmacist2020-03-17
Geoffrey B Watters 1220 Dewey Ave, Wauwatosa, WI 53213-2504Nurse Practitioner2020-07-20
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Charles Shoham 2626 N 76th St, Wauwatosa, WI 53213Physical Medicine & Rehabilitation Physician2006-12-12
Joan R Diedrich 7439 Harwood Ave, 214, Wauwatosa, WI 53213Registered Nurse2008-04-29
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Mary Kathryn Maxey 1515 Mower Court, Wauwatosa, WI 53213Registered Dietitian2012-09-12
Joahne C Penney 6005a West North Avenue, Wauwatosa, WI 53213Licensed Practical Nurse2010-03-02
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Rachel Rakow 1009 N 92nd St, Wauwatosa, WI 53213Speech-Language Pathologist2014-09-23
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.