Individual provider Active NPI

Carrie L. Lapow, APNP

  • Pediatric Nurse Practitioner
  • Muskego, WI
National Provider Identifier
1174596795
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
2303 Issued in WI
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

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
41178200MedicaidWI

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
I20040119000611 WI Practitioner - Nurse Practitioner 4688575939 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2303WIMDPhysical Medicine & Rehabilitation Physician
112622WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Medical Group Inc CurrentSince Nov 21, 2023 Accepting new patients
Prohealth Medical Group Inc. CurrentSince Nov 21, 2023 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.

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

Verify at the official NPI Registry.