Active NPI
Mary Elizabeth Moat, RN, NP
- Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1194723155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 49641
- Practice address
- Zablocki VA Medical Center
5000 W National Ave
Milwaukee, WI 53295-0001 - Phone
- (414) 385-2000
- NPI assigned
- Jul 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 49641 | WI | Primary |
Addresses
Primary practice location
Zablocki VA Medical Center
5000 W National Ave
Milwaukee, WI 53295-0001
Mailing address
1841 W Halsey Ave
Milwaukee, WI 53221-2842
Phone (414) 281-3896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180 | WI | MD | Physical Therapy Assistant |
| 49641 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194723155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1841 W HALSEY AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532212842",
"telephone_number": "414-281-3896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ZABLOCKI VA MEDICAL CENTER",
"address_2": "5000 W NATIONAL AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532950001",
"telephone_number": "414-385-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOAT",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "RN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "49641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.