Active NPI
Maureen Rose Nixon, NP
- Gerontology Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1477907913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 6835-33
- Practice address
- 1233 N Mayfair Rd
Suite 100
Milwaukee, WI 53226-3255 - Phone
- (414) 944-2000
- Fax
- (414) 944-2092
- NPI assigned
- Apr 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 6835-33 | WI | Primary |
Addresses
Primary practice location
1233 N Mayfair Rd
Suite 100
Milwaukee, WI 53226-3255
Mailing address
1233 N Mayfair Rd
Suite 100
Milwaukee, WI 53226-3255
Phone (414) 944-2000
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18740 W Bluemound Rd
Brookfield, WI 53045-2936
Phone (773) 332-7539
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wi SHMH SC | Current | Accepting new patients | |
| Mco Transportation LLC | Current | Accepting new patients |
Locations
5454 Fargo Ave
Skokie, IL 60077
Phone (847) 674-5454
18740 W Bluemound Rd
Brookfield, WI 53045
Phone (262) 782-0230
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.
-
- Behavioral Neurology & Neuropsychiatry Physician
- Brookfield, WI
- NPI 1841031549
-
- Non-emergency Medical Transport (VAN)
- East Troy, WI
- NPI 1568170132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1477907913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 N MAYFAIR RD",
"address_2": "SUITE 100",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263255",
"telephone_number": "414-944-2000",
"fax_number": "414-944-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 N MAYFAIR RD",
"address_2": "SUITE 100",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263255",
"telephone_number": "414-944-2000",
"fax_number": "414-944-2092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "MAUREEN",
"middle_name": "ROSE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-21",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WI",
"license": "6835-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 21, 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.