Individual provider Active NPI

Audrey Anna Katz, CNM

  • Advanced Practice Midwife
  • West Allis, WI
National Provider Identifier
1366012536
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
15367 Issued in WI
Practice address
8905 W Lincoln Ave
West Allis, WI 53227-2468
Phone
(414) 328-8650
Fax
(414) 328-8660
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 09000377A IN
Advanced Practice Midwife 367A00000X 15367 WI Primary

Addresses

Primary practice location

8905 W Lincoln Ave
West Allis, WI 53227-2468

Mailing address

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

Other practice location 1

1215 Lawn Ave
Ste 100
Elkhart, IN 46514-2450
Phone (574) 293-2893

Other practice location 2

2222 Rieth Blvd
Suite 104
Goshen, IN 46526-4652
Phone (574) 875-1082

Other practice location 3

1215 Lawn Ave Ste 110
Elkhart, IN 46514-2493
Phone (574) 524-7570

Other practice location 4

2405 W Lexington Ave
Elkhart, IN 46514-1417
Phone (574) 524-7575

Other identifiers 2

IdentifierTypeStateIssuer
300053006MedicaidIN
100281852MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address abinder190197@direct.myadvocateaurora.org Direct

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
I20240618001904 WI Practitioner - Certified Nurse Midwife (CNM) 8527461490 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeshore Medical Clinic LLCGroup PAC ID 7719890730, 375 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

2000 E Layton Ave
Saint Francis, WI 53235-6053
Phone (414) 744-6589

8905 W Lincoln Ave
West Allis, WI 53227-2468
Phone (414) 328-8480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
09000377AINMDAdvanced Practice Midwife
15367WIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Heart City Health Center, Inc. CurrentSince Sep 26, 2021 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 26, 2024 Accepting new patients
Sixteenth Street Community Health Centers, Inc. Advanced Practice Midwife CurrentSince Aug 8, 2024 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 26, 2024 Accepting new patients
Heart City Health Center, Inc. CurrentSince Sep 26, 2021 Accepting new patients
16TH Street Community Health Center Inc. Advanced Practice Midwife Current Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince Jul 26, 2024 Accepting new patients
Lakeshore Medical Clinic LTD CurrentSince Jul 26, 2024 Accepting new patients
16TH Street Community Health Center Inc. Advanced Practice Midwife Past Accepting new patients
Sixteenth Street Community Health Centers, Inc. Advanced Practice Midwife Past Accepting new patients
Sixteenth Street Community Health Centers, Inc. Past Accepting new patients

Locations

236 Simpson Ave
Elkhart, IN 46516
Phone (574) 293-0052

1545 Cassopolis St
Elkhart, IN 46514
Phone (574) 584-2501

2906 S 20th St
Milwaukee, WI 53215
Phone (414) 385-8800

1635 W National Ave
Milwaukee, WI 53204
Phone (262) 408-5094

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

1032 S Cesar E Chavez Dr
Milwaukee, WI 53204

4570 S 27th St
Milwaukee, WI 53221
Phone (414) 325-8720

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

2000 E Layton Ave
Ste 140
St Francis, WI 53235
Phone (414) 769-8009

309 E North St
Waukesha, WI 53188
Phone (262) 408-2530

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

Interoperability endpoints

  • Direct secure messaging: abinder190197@direct.myadvocateaurora.org
  • Direct secure messaging: audrey.katz.1@11397.direct.athenahealth.com
  • Direct secure messaging: akatz740838@direct.ochin.org

Organizations & group practices 11

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1366012536",
    "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": "8905 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272468",
            "telephone_number": "414-328-8650",
            "fax_number": "414-328-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lawn Ave",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465142450",
            "country_code": "US",
            "telephone_number": "574-293-2893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 Rieth Blvd",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465264652",
            "country_code": "US",
            "telephone_number": "574-875-1082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Lawn Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465142493",
            "country_code": "US",
            "telephone_number": "574-524-7570",
            "fax_number": "574-524-7571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2405 W Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465141417",
            "country_code": "US",
            "telephone_number": "574-524-7575",
            "fax_number": "574-524-7576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATZ",
        "first_name": "AUDREY",
        "middle_name": "ANNA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000377A",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WI",
            "license": "15367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300053006",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100281852",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "8905 W Lincoln Ave",
            "city": "West Allis",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532272468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abinder190197@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8905 W Lincoln Ave",
            "city": "West Allis",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532272468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.