Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Karen M Zaragoza-Ayala, CNM

Individual provider Maternal Newborn Registered Nurse · NPI 1780398750

Karen M Zaragoza-Ayala, CNM is registered under Certified Nurse Midwife (CNM) in Toledo, Ohio. Qualified in 2023, 3 years ago. Practices with The Toledo Hospital, a 119-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2023
Specialties on file
2
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

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Practice location Address checks out

2150 W Central Ave Ste D
Toledo, OH 43606-3859
Phone: (419) 291-2192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence APRN.CNM.0019598 (OH)
Maternal Newborn Registered Nurse Taxonomy 163WM0102X · Licence RN.501319 (OH)

Record details

NPI number1780398750
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorYes
NPI enumeratedJanuary 13, 2023
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Toledo Hospital — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $45 2 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at The Toledo Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 119 clinicians in the practice; 12 are shown here.

Other providers in Toledo