Individual provider Active NPI

Coua Moua, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, WI
National Provider Identifier
1336989193
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
15378-33 Issued in WI
Practice address
5249 E Terrace Dr
Madison, WI 53718-8339
Phone
(414) 418-2707
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 15378-33 WI Primary

Addresses

Primary practice location

5249 E Terrace Dr
Madison, WI 53718-8339

Mailing address

5249 E Terrace Dr
Madison, WI 53718-8339
Phone (414) 418-2707

Other practice location 1

208 E Olin Ave Ste 105
Madison, WI 53713-1427
Phone (608) 257-9700

Other practice location 2

202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6000

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
I20241010003455 WI Practitioner - Nurse Practitioner 6709318082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health Cooperative of South Central WisconsinGroup PAC ID 3870489586, 233 clinicians

Practice addresses (Care Compare)

5249 E Terrace Dr
Madison, WI 53718-8339
Phone (608) 222-9777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15378-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health Cooperative of South Central Wisconsin CurrentSince Sep 9, 2024 Accepting new patients
Group Health Cooperative of South Central Wi - Olin Clinic PastSince Apr 27, 2025 Accepting new patients

Locations

3051 Cahill Main
Fitchburg, WI 53711
Phone (608) 257-9700

1265 John Q Hammons Dr
Madison, WI 53717

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

5249 E Terrace Dr
Madison, WI 53718
Phone (608) 222-9777

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

208 E Olin Ave
Ste 105
Madison, WI 53713
Phone (608) 257-9700

Organizations & group practices 3

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": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1336989193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 E TERRACE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537188339",
            "telephone_number": "414-418-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 E TERRACE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537188339",
            "telephone_number": "414-418-2707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 E Olin Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537131427",
            "country_code": "US",
            "telephone_number": "608-257-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 S Park St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151507",
            "country_code": "US",
            "telephone_number": "608-417-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUA",
        "first_name": "COUA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "15378-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.