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Zacoia Green

Physician β€’ Madison, WI

Active NPI 1376147769 Individual Practitioner Female Practitioner
Practice location in NPPES

2104 E Washington Ave
Madison, WI 537045208

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2104 E Washington Ave

Madison, WI 537045208

Other Listings in Public Data

NPPES lists 5 distinct additional practice-address records in Madison, WI; Madsion, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-11-18
Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Secondary Practice Locations

2104 E Washington

Madsion, WI 53704

2104 E Washington Ave

Madison, WI 537045208

494 Blackbird Ln # 301

Madison, WI 537042444

494 Blackbird Ln

Madison, WI 537042444

494 Blackbird, 301

Madison, WI 53704

494 Blackbird, 301

Madison, WI 53704

494 Blackbird Lane

Madison, WI 53704

2104 E Washington

Madsion, WI 53704

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
βœ…
NPI Profile Active November 25, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 25, 2020

Registered at 2104 E WASHINGTON AVE, MADISON, WI 537045208

πŸ“
Business Mailing Address (Initial Record) November 25, 2020

Registered at 494 BLACKBIRD LN, MADISON, WI 537042444

🏒
Secondary Practice Location Registered November 25, 2020

Additional practice office at 2104 E Washington, Madsion, WI 53704

🏒
Secondary Practice Location Registered November 25, 2020

Additional practice office at 494 Blackbird Ln # 301, Madison, WI 537042444

🏒
Secondary Practice Location Registered November 25, 2020

Additional practice office at 494 Blackbird lane, Madison, WI 53704

🏒
Secondary Practice Location Registered November 25, 2020

Additional practice office at 494 Blackbird, 301, Madison, WI 53704

🏒
Secondary Practice Location Registered November 25, 2020

Additional practice office at 494 Blackbird Ln, Madison, WI 537042444

🏒
Secondary Practice Location Registered November 25, 2020

Additional practice office at 2104 E Washington Ave, Madison, WI 537045208

πŸ‘€
Provider Name / Credentials (Initial Record) November 25, 2020

Recorded as ZACOIA GREEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2020

Home Health

🟒
Initial NPI Registration & Enumeration November 25, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376147769
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 25, 2020
Last Update: November 25, 2020
Sole Proprietor: Yes

Mailing Address

494 Blackbird Ln

Madison, WI 537042444

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.