1. Home
  2. Directory
  3. Ohio
  4. Toledo
  5. Advanced Practice Midwife
  6. NPI Profile

KAREN M ZARAGOZA-AYALA CNM
NPI 1780398750
Advanced Practice Midwife in Toledo, OH

Active since January 13, 2023PECOS Enrolled
2150 W CENTRAL AVE STE D, TOLEDO, OH 43606(419) 291-2192 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 18, 2025, Jan 13, 2023 (2 updates tracked since 2023).

About Karen M Zaragoza-ayala Cnm NPPES

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

KAREN M ZARAGOZA-AYALA CNM (NPI 1780398750) is an individual advanced practice midwife in Toledo, Ohio, licensed in Ohio (APRN.CNM.0019598) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780398750
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameKAREN M ZARAGOZA-AYALACredential: CNM
Location Address2150 W CENTRAL AVE STE DToledo, OH 43606-3859
Mailing Address5144 N High St Apt 213Columbus, OH 43214-1547 · (213) 304-6546
Phone(419) 291-2192
Sole ProprietorYes
Enumeration DateJanuary 13, 2023
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1780398750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in OH · APRN.CNM.0019598
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.
Also ListedRegistered Nurse · Maternal NewbornTaxonomy 163WM0102X · License RN.501319 (OH)
2150 W CENTRAL AVE STE D, Toledo, OH 43606
Open in Google Maps ↗

Other Names 1

Former Name (1)Karen M Zaragoza Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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)

Karen M Zaragoza-ayala 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 Reassignment

Medicare enrollment records show Karen Zaragoza-ayala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Toledo Hospital
Same address
Clinical
2150 W CENTRAL AVE, 2ND FLOOR
Toledo, OH 43606
  • Reassigned Medicare billing, Ohio enrollment
  • 375 clinicians in this Medicare group
NPI 1083843031 (419) 291-7919

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 43606 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 8

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

VALERIA V ACUNA
Advanced Practice Midwife
2150 W CENTRAL AVE STE D
TOLEDO, OH 43606
Lucas County (419) 291-2192
KRYSTA MICHELLE JUNKINS CNM
Advanced Practice Midwife
2150 W CENTRAL AVE STE D
TOLEDO, OH 43606
Lucas County (419) 291-2192
FATME H BEYDOUN CNM
Advanced Practice Midwife
2150 W CENTRAL AVE STE D
TOLEDO, OH 43606
Lucas County (419) 291-2192
JENNIFER RUTH DAVIS
Advanced Practice Midwife
2150 W CENTRAL AVE STE D
TOLEDO, OH 43606
Lucas County (419) 291-2192
DR. HELEN O'CONNELL
Obstetrics & Gynecology
2150 W CENTRAL AVE STE D
TOLEDO, OH 43606
Lucas County (419) 291-2192
ARICA LYNNE GOGOL NURSE PRACTITIONER
Midwife, Lay
2150 W CENTRAL AVE STE D
TOLEDO, OH 43606
Lucas County (419) 291-2192
TRACY BARTSON CNM
Advanced Practice Midwife
2150 W CENTRAL AVE STE D
TOLEDO, OH 43606
Lucas County (419) 291-2192
MRS. MONICA EAKER
Advanced Practice Midwife
2150 W CENTRAL AVE STE D
TOLEDO, OH 43606
Lucas County (419) 291-2192

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 Karen Zaragoza-ayala's NPI number?

The NPI number for Karen Zaragoza-ayala is 1780398750. It was assigned to this individual provider in the NPPES registry on January 13, 2023. The provider is also known as Karen M Zaragoza Rn.

Where is Karen Zaragoza-ayala located?

Karen Zaragoza-ayala practices at 2150 W Central Ave Ste D, Toledo, OH 43606. The listed phone number is (419) 291-2192.

What is Karen Zaragoza-ayala's specialty?

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

Is Karen Zaragoza-ayala enrolled in Medicare?

Yes. Karen Zaragoza-ayala is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Zaragoza-ayala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Zaragoza-ayala reassigns Medicare benefits to The Toledo Hospital (Toledo, OH). The 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 Karen Zaragoza-ayala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Zaragoza-ayala accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Paramount and Priority Health list Karen Zaragoza-ayala 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 Karen Zaragoza-ayala was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.