Individual ProviderLeona MaksutiNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669(414) 385-1922(800) 326-2250PECOS EnrollmentBased on the most recent information from CMS, provider Leona Maksuti is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1669293650Provider TypeIndividualFull NameMaksuti, LeonaCredentialNPGenderFemaleSole ProprietorNoEnumeration Date10/22/2024Last Updated4/29/2025Contact InformationPractice LocationPractice Address2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669Phone(414) 385-1922FaxUnlisted FaxMailing LocationMailing AddressPO Box 735044, Chicago, IL 60673-5044Phone(800) 326-2250FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense16166-33WisconsinCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense251548-30WisconsinProvider IdentifiersIDDescriptionIssuerID100298286DescriptionMedicaidIssuerUnlistedWisconsin