GRETCHEN E MCCOOL CNM
NPI 1720336274
Advanced Practice Midwife in Milwaukee, WI

Q: What is Gretchen Mccool's NPI number?

The NPI number for Gretchen Mccool is 1720336274. It was assigned to this individual provider in the NPPES registry on August 15, 2012.

Q: What is Gretchen Mccool's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Gretchen Mccool was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 15, 2012PECOS Enrolled

801 E CAPITOL DR, MILWAUKEE, WI 53212(844) 493-1052(414) 291-5207 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2026, Mar 30, 2023, Nov 12, 2019 and 2 more (5 updates tracked since 2016).

On this page

About Gretchen E Mccool Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRETCHEN E MCCOOL CNM (NPI 1720336274) is an individual advanced practice midwife in Milwaukee, Wisconsin, licensed in Wisconsin (148890) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720336274

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameGRETCHEN E MCCOOLCredential: CNM

Location Address801 E CAPITOL DRMilwaukee, WI 53212-1300

Mailing Address302 N Jackson StMilwaukee, WI 53202-5917 · (414) 289-3796 · Fax (414) 431-0733

Phone(844) 493-1052

Fax(414) 291-5207

Sole ProprietorNo

Enumeration DateAugust 15, 2012

Last NPPES UpdateApril 10, 20265 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1720336274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in WI · 148890

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

801 E CAPITOL DR, Milwaukee, WI 53212

Open in Google Maps ↗

Other Identifiers 1

Medicaid100037010WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gretchen E Mccool Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Gretchen Mccool reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Medical Group-Southeast Wisconsin Inc

1.0 mi

Internal Medicine

400 W RIVER WOODS PKWY
Glendale, WI 53212

Reassigned Medicare billing, Wisconsin enrollment
1,343 clinicians in this Medicare group

NPI 1609881077 (414) 465-3000

Milwaukee Health Services Inc

1.7 mi

Public Health or Welfare

2555 N MARTIN LUTHER KING DR
Milwaukee, WI 53212

Reassigned Medicare billing, Wisconsin enrollment
86 clinicians in this Medicare group

NPI 1740516186 (414) 372-8080

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PLANNED PARENTHOOD OF WI, INC

Clinic/Center (Ambulatory Family Planning Facility)

801 E CAPITOL DR
MILWAUKEE, WI 53212

Milwaukee County (414) 273-1410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gretchen Mccool's NPI number?

The NPI number for Gretchen Mccool is 1720336274. It was assigned to this individual provider in the NPPES registry on August 15, 2012.

Where is Gretchen Mccool located?

Gretchen Mccool practices at 801 E Capitol Dr, Milwaukee, WI 53212. The listed phone number is (844) 493-1052.

What is Gretchen Mccool's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Gretchen Mccool enrolled in Medicare?

Yes. Gretchen Mccool is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gretchen Mccool's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gretchen Mccool reassigns Medicare benefits to 2 organizations: Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI) and Milwaukee Health Services Inc (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gretchen Mccool's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gretchen Mccool accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and MercyCare and 3 other insurers list Gretchen Mccool as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gretchen Mccool was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.