Active NPI
Lacey J Schrader, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- La Crosse, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 77290
- Practice address
- 1836 South Ave
La Crosse, WI 54601-5429 - Phone
- (608) 782-7300
- NPI assigned
- Jun 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 77290 | WI | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 66831 | MN |
Addresses
Primary practice location
1836 South Ave
La Crosse, WI 54601-5429
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Other practice location 1
200 1st Street SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, IA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gundersen Lutheran Medical Center IncTomah Memorial Hospital Inc
Practice addresses (Care Compare)
1122 W Hwy 61
Winona, MN 55987-1957
Phone (507) 615-0600
1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300
18601 Lincoln St
Whitehall, WI 54773-8605
Phone (715) 538-4361
402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331
501 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-2181
507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-2101
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66831 | MN | MD | Anatomic Pathology & Clinical Pathology Physician |
| 77290 | WI | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
Locations
1830 State Highway 9
Decorah, IA 52101
Phone (563) 382-2639
40 1st St SE
Waukon, IA 52172
Phone (563) 568-3411
112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811
123 5th Ave SE
Spring Grove, MN 55974
Phone (507) 498-3302
1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531
1122 W Highway 61
Winona, MN 55987
Phone (507) 615-0600
205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112
402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681
37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000
610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466
501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181
505 Gopher Dr
Tomah, WI 54660
Phone (608) 372-2181
507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101
18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712
Organizations & group practices 31
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.
-
- Critical Access Hospital
- Friendship, WI
- NPI 1710939533
-
- Rural Health Clinic/Center
- Whitehall, WI
- NPI 1417201864
-
- Critical Access Hospital
- Viroqua, WI
- NPI 1497750921
-
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
- Critical Access Hospital
- Boscobel, WI
- NPI 1760459846
-
- Critical Access Hospital
- Prairie Du Chien, WI
- NPI 1619024197
-
- Clinic/Center
- Hillsboro, WI
- NPI 1104031798
-
- Critical Access Hospital
- Tomah, WI
- NPI 1184765240
-
- Critical Access Hospital
- Tomah, WI
- NPI 1992970453
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Crosse, WI
- NPI 1376593442
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
Hospital
-
- Critical Access Hospital
- Hillsboro, WI
- NPI 1972591410
-
- Critical Access Hospital
- Tomah, WI
- NPI 1184765240
-
- Critical Access Hospital
- Wabasha, MN
- NPI 1659355600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1093165656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 SOUTH AVE",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015429",
"telephone_number": "608-782-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 SOUTH AVE",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015429",
"telephone_number": "608-782-7300"
}
],
"practiceLocations": [
{
"address_1": "200 1st Street SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559050001",
"country_code": "US",
"telephone_number": "507-284-2511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHRADER",
"first_name": "LACEY",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WI",
"license": "77290",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MN",
"license": "66831",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.