Individual provider Active NPI

Mary Jamie Cairo, NP

  • Nurse Practitioner
  • Kenosha, WI
National Provider Identifier
1962493635
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
693 Issued in WI
Practice address
6811 118TH Ave
Kenosha, WI 53142-8420
Phone
(262) 857-5750
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 693 WI Primary

Addresses

Primary practice location

6811 118TH Ave
Kenosha, WI 53142-8420

Mailing address

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

Other practice location 1

3601 30th Ave
Ste 203
Kenosha, WI 53144-1695
Phone (262) 652-8001

Other identifiers 2

IdentifierTypeStateIssuer
P00823712OtherWIRR MEDICARE
43904300MedicaidWI

Other names 1

  • Jamie Cairo Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mcairo8166@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20040813001130 WI Practitioner - Nurse Practitioner 7012980493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Health Care Metro, Inc.Group PAC ID 8628986536, 75 clinicians

Practice addresses (Care Compare)

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 649-6000

6811 118TH Ave
Kenosha, WI 53142-8420
Phone (262) 857-5750

Hospital & facility affiliations

  • Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
693WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Advanced Healthcare, Inc. CurrentSince Feb 1, 2010 Accepting new patients
Aurora Health Care Metro, Inc. CurrentSince Dec 18, 2011 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Feb 1, 2010 Accepting new patients

Locations

709 Spring Valley Rd
Burlington, WI 53105
Phone (262) 767-6020

7322 W Rawson Ave
Franklin, WI 53132
Phone (414) 433-9010

W180N11070 River Ln
Germantown, WI 53022
Phone (262) 532-9700

4655 N Port Washington Rd
Ste 200
Glendale, WI 53212
Phone (414) 906-3420

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

6811 118th Ave
Kenosha, WI 53142
Phone (262) 857-5750

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

2801 W Kinnickinnic River Pkwy
Ste 930
Milwaukee, WI 53215
Phone (414) 384-5111

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

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

945 N 12th St
Ste 102
Milwaukee, WI 53233

2801 W Kinnickinnic River Pkwy
Ste 980
Milwaukee, WI 53215
Phone (414) 384-5111

8400 Washington Ave
Ste 203
Mount Pleasant, WI 53406
Phone (262) 884-8340

36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000

1055 N Mayfair Rd
Ste 300
Wauwatosa, WI 53226
Phone (414) 476-8450

1055 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 476-8450

8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000

Interoperability endpoints

  • Direct secure messaging: mcairo8166@direct.myadvocateaurora.org

Organizations & group practices 3

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 2

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1962493635",
    "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": "6811 118TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531428420",
            "telephone_number": "262-857-5750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 30th Ave",
            "address_2": "Ste 203",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531441695",
            "country_code": "US",
            "telephone_number": "262-652-8001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAIRO",
        "first_name": "MARY",
        "middle_name": "JAMIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00823712",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43904300",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcairo8166@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3601 30th Ave",
            "address_2": "Ste 203",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531441695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3601 30th Ave",
            "address_2": "Ste 203",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531441695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "CAIRO",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.