Individual provider Active NPI

Katarzyna A Zorns, MD

  • Family Medicine Physician
  • Mt Pleasant, WI
National Provider Identifier
1386964088
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
61154 Issued in WI
Practice address
4328 Old Green Bay Rd
Mt Pleasant, WI 53403-9489
Phone
(262) 687-7606
Fax
(262) 687-7615
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 61154 WI Primary

Addresses

Primary practice location

4328 Old Green Bay Rd
Mt Pleasant, WI 53403-9489

Mailing address

4328 Old Green Bay Rd
Mt Pleasant, WI 53403-9489
Phone (262) 687-7606

Other names 1

  • Katarzyna Anna Przepolska Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131021001300 WI Practitioner - Family Practice 8628203072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group-Southeast Wisconsin IncGroup PAC ID 8628980943, 551 clinicians

Practice addresses (Care Compare)

10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (262) 687-4011

13950 W Capitol Dr
Brookfield, WI 53005-2441
Phone (414) 302-5400

Hospital & facility affiliations

  • Ascension at Home Home health agency, Milwaukee, WI, CCN 527187
  • Ascension All Saints Hospital Hospital, Racine, WI, CCN 520096
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61154WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc Multi-Specialty CurrentSince Aug 20, 2013 Accepting new patients
Ascension All Saints Hospital, Inc Multi-Specialty Past Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

3821 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-8460

10180 Washington Ave
#105
Mount Pleasant, WI 53177

4328 Old Green Bay Rd
Mount Pleasant, WI 53403
Phone (262) 687-7606

10340 Washington Ave
Sturtevant, WI 53177
Phone (262) 687-7500

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1386964088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 OLD GREEN BAY RD",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534039489",
            "telephone_number": "262-687-7606",
            "fax_number": "262-687-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 OLD GREEN BAY RD",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534039489",
            "telephone_number": "262-687-7606",
            "fax_number": "262-687-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORNS",
        "first_name": "KATARZYNA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "61154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATARZYNA",
            "last_name": "PRZEPOLSKA",
            "middle_name": "ANNA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt Pleasant, WI

Sources for this page

Verify at the official NPI Registry.