Active NPI
Carrie L. Lapow, APNP
- Pediatric Nurse Practitioner
- Muskego, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 2303
- Practice address
- S69 W15636 Janesville Road
Prohealth Care Medical Associates
Muskego, WI 53150 - Phone
- (262) 928-7000
- Fax
- (414) 422-2075
- NPI assigned
- Feb 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 112622 | WI | |
| Pediatric Nurse Practitioner | 363LP0200X | 2303 | WI | Primary |
Addresses
Primary practice location
S69 W15636 Janesville Road
Prohealth Care Medical Associates
Muskego, WI 53150
Mailing address
N17 W24100 Riverwood Drive Suite 250
Prohealth Care Medical Associates Inc
Waukesha, WI 53188-1177
Phone (262) 928-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41178200 | Medicaid | WI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2303 | WI | MD | Physical Medicine & Rehabilitation Physician |
| 112622 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc | Current | Accepting new patients | |
| Prohealth Medical Group Inc. | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Past | Accepting new patients |
Locations
W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000
837 Highway NN E
Mukwonago, WI 53149
Phone (262) 363-6830
400 Bay View Rd
Mukwonago, WI 53149
Phone (262) 363-1900
S69W15636 Janesville Rd
Muskego, WI 53150
Phone (262) 513-7000
820 Summit Ave
Oconomowoc, WI 53066
Phone (262) 567-0223
791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251
N17W24100 Riverwood Dr
Ste 250
Waukesha, WI 53188
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1760523559
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1174596795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N17 W24100 RIVERWOOD DRIVE SUITE 250",
"address_2": "PROHEALTH CARE MEDICAL ASSOCIATES INC",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881177",
"telephone_number": "262-928-4100",
"fax_number": "262-928-5835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S69 W15636 JANESVILLE ROAD",
"address_2": "PROHEALTH CARE MEDICAL ASSOCIATES",
"city": "MUSKEGO",
"state": "WI",
"postal_code": "53150",
"telephone_number": "262-928-7000",
"fax_number": "414-422-2075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPOW",
"first_name": "CARRIE",
"middle_name": "L.",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "112622",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WI",
"license": "2303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41178200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskego, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.