Individual provider Active NPI

Diana L Rawson, APNP

  • Nurse Practitioner
  • Muskego, WI
National Provider Identifier
1033497953
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
151219 Issued in WI
Practice address
S68W15500 Janesville Rd
Muskego, WI 53150-2613
Phone
(414) 422-2180
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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 151219 WI Primary

Addresses

Primary practice location

S68W15500 Janesville Rd
Muskego, WI 53150-2613

Mailing address

S68W15500 Janesville Rd
Muskego, WI 53150-2613
Phone (414) 422-2180

Other identifiers 1

IdentifierTypeStateIssuer
1033497953MedicaidWI

Other names 1

  • Diana Gonzales Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address drawson195156@direct.myadvocateaurora.org

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
I20110922000778 WI Practitioner - Nurse Practitioner 3870764848 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

9000 W Sura LN
Greenfield, WI 53228-3477
Phone (414) 246-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151219WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical College of Wisconsin, Inc. CurrentSince Sep 1, 2012 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 5, 2019 Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince Jan 10, 2018 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Jan 8, 2018 Accepting new patients
Aurora Medical Group, Inc. Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 5, 2019 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Jan 8, 2018 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Advanced Pain Management SC Past Accepting new patients

Locations

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

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

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

10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080

9000 W Sura Ln
Milwaukee, WI 53228
Phone (414) 246-6500

945 N 12th St
Ste 102
Milwaukee, WI 53233

Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122

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

S68W15500 Janesville Rd
Muskego, WI 53150
Phone (414) 422-2180

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

2424 S 90th St
Ste 500
West Allis, WI 53227
Phone (414) 321-2255

Organizations & group practices 9

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": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1033497953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S68W15500 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531502613",
            "telephone_number": "414-422-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S68W15500 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531502613",
            "telephone_number": "414-422-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWSON",
        "first_name": "DIANA",
        "middle_name": "L",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "151219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033497953",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "S68W15500 Janesville Rd",
            "city": "Muskego",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531502613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drawson195156@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "S68W15500 Janesville Rd",
            "city": "Muskego",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531502613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "GONZALES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muskego, WI

Sources for this page

Verify at the official NPI Registry.