Individual provider Active NPI

Aaron Zietlow

  • Nurse Practitioner
  • Wauwatosa, WI
National Provider Identifier
1770243289
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11651-33 Issued in WI
Practice address
3077 N Mayfair Rd Ste 100
Wauwatosa, WI 53222-4305
Phone
(414) 384-6700
NPI assigned
Dec 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11651-33 WI
Nurse Practitioner 363L00000X 11651-33 WI Primary

Addresses

Primary practice location

3077 N Mayfair Rd Ste 100
Wauwatosa, WI 53222-4305

Mailing address

3077 N Mayfair Rd Ste 100
Wauwatosa, WI 53222-4305
Phone (414) 384-6700

Other practice location 1

3111 W Rawson Ave
Franklin, WI 53132-9417
Phone (414) 761-2600

Other identifiers 1

IdentifierTypeStateIssuer
11651OtherWISTATE LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220119001410 WI Practitioner - Nurse Practitioner 8224420559 Reassigns benefits to 3 organizations

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
Orthopedic Surgeons of Wisconsin SCGroup PAC ID 5294727152, 61 clinicians
Ascension Medical Group-Southeast Wisconsin IncGroup PAC ID 8628980943, 551 clinicians
Midwest Orthopedic Specialty Hospital, LLCGroup PAC ID 7113078833, 65 clinicians

Practice addresses (Care Compare)

3077 N Mayfair Rd
Suite 100
Wauwatosa, WI 53222-4305
Phone (414) 384-6700

3811 Spring St
Suite 102
Mount Pleasant, WI 53405-1667
Phone (262) 687-5800

7095 S Ballpark Dr
Suite 100
Franklin, WI 53132-6908
Phone (414) 817-6620

Hospital & facility affiliations

  • Ascension All Saints Hospital Hospital, Racine, WI, CCN 520096
  • Midwest Orthopedic Specialty Hospital Hospital, Franklin, WI, CCN 520205
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136
  • Ascension St Francis Hospital Hospital, Milwaukee, WI, CCN 520078

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
73.65
Promoting interoperability
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11651-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Apr 2, 2022 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Apr 2, 2022 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince May 28, 2022 Accepting new patients
Orthopedic Surgeons of Wisconsin, S.C. Sports Medicine CurrentSince Jan 1, 2022 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC Current Accepting new patients

Locations

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

3111 W Rawson Ave
Ste 235
Franklin, WI 53132
Phone (414) 325-4370

7400 W Rawson Ave
Ste 243
Franklin, WI 53132
Phone (414) 425-8150

3111 W Rawson Ave
Ste 215
Franklin, WI 53132
Phone (414) 761-0727

3111 W Rawson Ave
Ste 110
Franklin, WI 53132

3111 W Rawson Ave
Franklin, WI 53132
Phone (414) 325-4300

9969 S 27th St
Ste 1100
Franklin, WI 53132

7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620

3111 W Rawson Ave
Ste 205
Franklin, WI 53132

3111 W Rawson Ave
Ste 200
Franklin, WI 53132
Phone (414) 325-4320

12831 N Port Washington Rd
Mequon, WI 53097
Phone (262) 643-1300

2500 W Layton Ave
Ste 160
Milwaukee, WI 53221
Phone (414) 389-3023

3237 S 16th St
Ste 210
Milwaukee, WI 53215
Phone (414) 643-4020

9252 N Green Bay Rd
Milwaukee, WI 53209
Phone (414) 527-5089

3033 W Layton Ave
Ste 102
Milwaukee, WI 53221
Phone (414) 647-0033

3811 Spring St
Ste 102
Mount Pleasant, WI 53405
Phone (262) 687-5800

10180 Washington Ave
Ste 200
Mount Pleasant, WI 53177
Phone (262) 687-6000

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

2323 N Mayfair Rd
Ste 300
Wauwatosa, WI 53226
Phone (414) 443-9862

3077 N Mayfair Rd
Ste 100
Wauwatosa, WI 53222
Phone (414) 771-5900

201 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 259-7200

Interoperability endpoints

  • Direct secure messaging: aaron.zietlow.1@32957.direct.athenahealth.com

Organizations & group practices 5

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 5

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": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1770243289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 N MAYFAIR RD STE 100",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224305",
            "telephone_number": "414-384-6700",
            "fax_number": "414-727-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 N MAYFAIR RD STE 100",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224305",
            "telephone_number": "414-384-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 W Rawson Ave",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531329417",
            "country_code": "US",
            "telephone_number": "414-761-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIETLOW",
        "first_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-23",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "11651-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "11651-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "11651",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.