Active NPI
Mary Ann Muzi, NP
- Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1356625263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4629
- Practice address
- 2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3669 - Phone
- (414) 384-5111
- NPI assigned
- Oct 11, 2011
- 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 | 4629 | WI | Primary |
Addresses
Primary practice location
2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3669
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (414) 384-5111
Other practice location 1
N14W23833 Stone Ridge Dr
Suite 200
Waukesha, WI 53188-1157
Phone (262) 513-2033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100018019 | Medicaid | WI | |
| P01014223 | Other | WI | RR MEDICARE |
Other names 1
- Mary Ann Kirschner
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmuzi7943@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4629 | WI | MD | Nurse Practitioner |
Interoperability endpoints
- mmuzi7943@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1356625263",
"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": "414-384-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 W KINNICKINNIC RIVER PKWY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153669",
"telephone_number": "414-384-5111"
}
],
"practiceLocations": [
{
"address_1": "N14W23833 Stone Ridge Dr",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Waukesha",
"state": "WI",
"postal_code": "531881157",
"country_code": "US",
"telephone_number": "262-513-2033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUZI",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-11",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "4629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100018019",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01014223",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmuzi7943@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "N14W23833 Stone Ridge Dr",
"address_2": "Suite 200",
"city": "Waukesha",
"state": "WI",
"country_code": "US",
"postal_code": "531881157",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "N14W23833 Stone Ridge Dr",
"address_2": "Suite 200",
"city": "Waukesha",
"state": "WI",
"country_code": "US",
"postal_code": "531881157",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARY",
"last_name": "KIRSCHNER",
"middle_name": "ANN",
"code": "5",
"type": "Other Name"
}
]
}
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 Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.