Individual provider Active NPI

Eileen M Nyholt, CNM

  • Advanced Practice Midwife
  • Milwaukee, WI
National Provider Identifier
1184654196
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
100348-032 Issued in WI
Practice address
1020 N 12TH St
1St Floor
Milwaukee, WI 53233-1308
Phone
(414) 219-5800
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 100348-032 WI Primary

Addresses

Primary practice location

1020 N 12TH St
1St Floor
Milwaukee, WI 53233-1308

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other identifiers 1

IdentifierTypeStateIssuer
39906500MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address enyholt44518@direct.myadvocateaurora.org

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040207000350 WI Practitioner - Certified Nurse Midwife (CNM) 9436042876 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
100348-032WIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Nov 1, 2015 Accepting new patients
Aurora Health Care Metro, Inc. CurrentSince Jan 1, 2009 Accepting new patients
Milwaukee Health Services Inc CurrentSince Jan 1, 2014 Accepting new patients
Milwaukee Health Services, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Aurora Health Care Metro, Inc. Advanced Practice Midwife CurrentSince Jan 1, 2009 Accepting new patients
Milwaukee Health Services, Inc. Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Nov 1, 2015 Accepting new patients
Aurora Sinai Medical Center, Inc. Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

1020 N 12th St
Ste 107
Milwaukee, WI 53233
Phone (664) 941-4219

1020 N 12th St
Fl 1
Milwaukee, WI 53233
Phone (414) 219-5201

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

1218 W Kilbourn Ave
Ste 302
Milwaukee, WI 53233
Phone (414) 219-6600

1818 W National Ave
Milwaukee, WI 53204
Phone (414) 385-5100

2555 N Mlk Dr
Milwaukee, WI 53212
Phone (414) 267-2022

1020 N 12th St
#107
Milwaukee, WI 53233
Phone (414) 219-5800

1575 N Rivercenter Dr
Milwaukee, WI 53212
Phone (414) 283-8444

8905 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000

Interoperability endpoints

  • Direct secure messaging: enyholt44518@direct.myadvocateaurora.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1184654196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N 12TH ST",
            "address_2": "1ST FLOOR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331308",
            "telephone_number": "414-219-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYHOLT",
        "first_name": "EILEEN",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WI",
            "license": "100348-032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39906500",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1020 N 12th St",
            "address_2": "1st floor",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532331308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "enyholt44518@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "1020 N 12th St",
            "address_2": "1st floor",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532331308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.