Active NPI
Zarah Rose Maccoux, CNM
- Advanced Practice Midwife
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 148881-32
- Practice address
- 2555 N Dr Martin Luther King Jr Dr
Milwaukee, WI 53212-2709 - Phone
- (414) 372-8080
- Fax
- (414) 562-8447
- NPI assigned
- Aug 12, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 175043-30 | WI | |
| Nurse Practitioner | 363L00000X | 5485-33 | WI | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 5485-33 | WI | |
| Advanced Practice Midwife | 367A00000X | 148881-32 | WI | Primary |
Addresses
Primary practice location
2555 N Dr Martin Luther King Jr Dr
Milwaukee, WI 53212-2709
Mailing address
2555 N Martin Luther King Dr
Milwaukee, WI 53212-2709
Phone (414) 372-8080
Other practice location 1
8200 W Silver Spring Dr
Milwaukee, WI 53218-2552
Phone (414) 760-3900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100035015 | Medicaid | WI | |
| 0000002690 | Other | WI | MEDICARE PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2555 N Dr Martin Luther King Dr
Milwaukee, WI 53212-2709
Phone (414) 372-8080
2555 N Dr Martin Luther King Jr Dr
Milwaukee, WI 53212-2709
8200 W Silver Spring Dr
Milwaukee, WI 53218-2552
Phone (414) 760-3900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175043-30 | WI | MD | Registered Nurse |
| 5485-33 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milwaukee Health Services, Inc. | Current | Accepting new patients | |
| Milwaukee Health Services Inc | Current | Accepting new patients |
Locations
2555 N Mlk Dr
Milwaukee, WI 53212
Phone (414) 267-2022
8200 W Silver Spring Dr
Milwaukee, WI 53218
Phone (414) 760-3900
Interoperability endpoints
- zmaccoux526482@direct.ochin.org
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.
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1518005818
-
- Case Management Agency
- Milwaukee, WI
- NPI 1346657442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1689007890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 N MARTIN LUTHER KING DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532122709",
"telephone_number": "414-372-8080",
"fax_number": "414-562-8447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 N DR MARTIN LUTHER KING JR DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532122709",
"telephone_number": "414-372-8080",
"fax_number": "414-562-8447"
}
],
"practiceLocations": [
{
"address_1": "8200 W Silver Spring Dr",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532182552",
"country_code": "US",
"telephone_number": "414-760-3900",
"fax_number": "414-464-7769",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACCOUX",
"first_name": "ZARAH",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-12",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "175043-30",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "5485-33",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "WI",
"license": "5485-33",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WI",
"license": "148881-32",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100035015",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0000002690",
"state": "WI"
}
],
"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 Jul 3, 2024; 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.