Active NPI
Alwin A Diaz, N.P.
- Nurse Practitioner
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6367-33
- Practice address
- 7201 Green Bay Rd
Kenosha, WI 53142-3532 - Phone
- (262) 432-2352
- Fax
- (262) 697-5616
- NPI assigned
- Jun 2, 2015
- Sex
- Male
- 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 | 6367-33 | WI | Primary |
Addresses
Primary practice location
7201 Green Bay Rd
Kenosha, WI 53142-3532
Mailing address
1675 N Barker Rd
Brookfield, WI 53045-5200
Phone (414) 755-4898
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4650 S Howell Ave
Milwaukee, WI 53207-5908
Phone (414) 376-5577
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Healthcare, Inc | Nurse Practitioner | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Horizon Healthcare, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients |
Locations
3410 80th St
Kenosha, WI 53142
Phone (262) 697-0825
4650 S Howell Ave
Milwaukee, WI 53207
Phone (414) 294-0144
2819 W Highland Blvd
Milwaukee, WI 53208
Phone (414) 939-7145
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
5555 N 51st St
Milwaukee, WI 53218
Phone (414) 527-6940
5005 W Howard Ave
Milwaukee, WI 53220
2835 N 32nd St
Milwaukee, WI 53210
Phone (414) 342-6200
130 W Bruce St
Ste 300
Milwaukee, WI 53204
Phone (414) 384-1400
5408 W Burleigh St
Milwaukee, WI 53210
Phone (414) 445-6520
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
835 Wisconsin Ave
Racine, WI 53403
741 N Grand Ave
Ste 200
Waukesha, WI 53186
Phone (262) 309-6243
Interoperability endpoints
- adiaz387658@direct.myadvocateaurora.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1225052830
Nurse Practitioner
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- General Practice Physician
- Racine, WI
- NPI 1881085793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1245610658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 N BARKER RD",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530455200",
"telephone_number": "414-755-4898",
"fax_number": "262-754-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7201 GREEN BAY RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531423532",
"telephone_number": "262-432-2352",
"fax_number": "262-697-5616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ALWIN",
"middle_name": "A",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-02",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "6367-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.