Individual provider Active NPI

Laura M Pierre, CPNP

  • Pediatric Nurse Practitioner
  • Appleton, WI
National Provider Identifier
1063878643
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
6724-33 Issued in WI
Practice address
2575 E Evergreen Drive
Appleton, WI 54913-8904
Phone
(920) 969-5353
Fax
(414) 337-7201
NPI assigned
Jan 12, 2016
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 6724-33 WI Primary

Addresses

Primary practice location

2575 E Evergreen Drive
Appleton, WI 54913-8904

Mailing address

2575 E Evergreen Drive
Appleton, WI 54913
Phone (920) 969-5353

Other practice location 1

9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone (414) 266-2860

Other practice location 2

1506 S Oneida St Ste 500
Appleton, WI 54915-1305
Phone (920) 738-8050

Other practice location 3

555 Redbird Cir
DE Pere, WI 54115-7977
Phone (920) 969-5353

Other identifiers 1

IdentifierTypeStateIssuer
1063878643MedicaidWI

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
I20210614000439 WI Practitioner - Nurse Practitioner 9436559424 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6724WIMDOccupational Therapist
6724-33WIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical College of Wisconsin, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Children's Specialty Group, Inc. CurrentSince Oct 11, 2025 Accepting new patients
Community Pediatrics SC Pediatrics PastSince Aug 3, 2010 Accepting new patients

Locations

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1506 S Oneida St
Ste 500
Appleton, WI 54915
Phone (920) 738-8050

2575 E Evergreen Dr
Appleton, WI 54913
Phone (920) 969-5353

555 Redbird Cir
De Pere, WI 54115
Phone (920) 338-6820

2550 S Ashland Ave
Green Bay, WI 54304
Phone (920) 548-7337

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

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

9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1063878643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 E EVERGREEN DRIVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54913",
            "telephone_number": "920-969-5353",
            "fax_number": "414-337-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 E EVERGREEN DRIVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138904",
            "telephone_number": "920-969-5353",
            "fax_number": "414-337-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532264874",
            "country_code": "US",
            "telephone_number": "414-266-2860",
            "fax_number": "414-266-6749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1506 S Oneida St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549151305",
            "country_code": "US",
            "telephone_number": "920-738-8050",
            "fax_number": "414-337-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Redbird Cir",
            "address_purpose": "LOCATION",
            "city": "DE Pere",
            "state": "WI",
            "postal_code": "541157977",
            "country_code": "US",
            "telephone_number": "920-969-5353",
            "fax_number": "414-337-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "6724-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063878643",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.