Individual provider Active NPI

Mai Tong Thao

  • Family Nurse Practitioner
  • West Allis, WI
National Provider Identifier
1144108598
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16929-33 Issued in WI
Practice address
6737 W Washington St Ste 2150
West Allis, WI 53214-5649
Phone
(414) 238-1771
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16929-33 WI Primary

Addresses

Primary practice location

6737 W Washington St Ste 2150
West Allis, WI 53214-5649

Mailing address

155 N Dechant Rd
Brookfield, WI 53005-3906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905000736 WI Practitioner - Nurse Practitioner 7315449733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Wisconsin School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accentcare Medical Group of Wisconsin, S.C.Group PAC ID 4284874298, 4 clinicians

Practice addresses (Care Compare)

6737 W Washington St
Suite 2150
West Allis, WI 53214-5649
Phone (414) 203-8310

Hospital & facility affiliations

  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16929-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Accentcare Medical Group of Wisconsin, S.C. CurrentSince Oct 1, 2025 Accepting new patients
Seasons Hospice & Palliative Care of Wisconsin, LLC CurrentSince Dec 7, 2025 Accepting new patients

Locations

17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800

6737 W Washington St
West Allis, WI 53214
Phone (414) 246-2357

6737 W Washington St
Ste 2150
West Allis, WI 53214
Phone (414) 203-8310

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1144108598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N DECHANT RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST STE 2150",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532145649",
            "telephone_number": "414-238-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAO",
        "first_name": "MAI",
        "middle_name": "TONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "16929-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.