Individual provider Active NPI

Michael Zilavy

  • Home Health Registered Nurse
  • Menomonee Falls, WI
National Provider Identifier
1114145646
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
111552 Issued in WI
Practice address
W147N7680 Northpoint Dr Apt 33
Menomonee Falls, WI 53051-4351
Phone
(262) 250-0359
NPI assigned
Apr 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 111552 WI
Home Health Registered Nurse 163WH0200X 111552 WI Primary

Addresses

Primary practice location

W147N7680 Northpoint Dr Apt 33
Menomonee Falls, WI 53051-4351

Mailing address

313 S 61St St
Milwaukee, WI 53214-1816
Phone (414) 258-2896

Other identifiers 1

IdentifierTypeStateIssuer
387 62 14910MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
111552WIMDHome Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1114145646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S 61ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532141816",
            "telephone_number": "414-258-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W147N7680 NORTHPOINT DR APT 33",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514351",
            "telephone_number": "262-250-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILAVY",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "111552",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "111552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387 62 14910",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.