Individual provider Active NPI

Lisa Ellen Kromanaker, R.N.

  • Emergency Registered Nurse
  • Madison, WI
National Provider Identifier
1043258866
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
105560 Issued in WI
Practice address
4122 E Towne Blvd
Madison, WI 53704-3732
Phone
(608) 242-6840
Fax
(608) 242-6117
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 105560 WI Primary

Addresses

Primary practice location

4122 E Towne Blvd
Madison, WI 53704-3732

Mailing address

325 Garnet LN
Madison, WI 53714-2552
Phone (608) 242-7295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
105560WIMDEmergency Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043258866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 GARNET LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537142552",
            "telephone_number": "608-242-7295",
            "fax_number": "608-249-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 E TOWNE BLVD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043732",
            "telephone_number": "608-242-6840",
            "fax_number": "608-242-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROMANAKER",
        "first_name": "LISA",
        "middle_name": "ELLEN",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "WI",
            "license": "105560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.