Individual provider Active NPI

Clarissa M Lawrence, DNP, APNP, FNP-BC

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1194292268
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8814-33 Issued in WI
Practice address
7929 N 76TH St
Milwaukee, WI 53223-3947
Phone
(414) 554-9774
Fax
(414) 979-0325
NPI assigned
Oct 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8814-33 WI Primary

Addresses

Primary practice location

7929 N 76TH St
Milwaukee, WI 53223-3947

Mailing address

7929 N 76TH St
Milwaukee, WI 53223-3947
Phone (414) 554-9774

Other practice location 1

9304 W Clovernook St
Milwaukee, WI 53224-5211
Phone (111) 111-1111

Other names 1

  • Dr. Clarissa Marie Lawrence Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190426000999 WI Practitioner - Nurse Practitioner 7911249719 Reassigns benefits to 5 organizations
I20200706002932 MI Practitioner - Nurse Practitioner 7911249719 Reassigns benefits to 2 organizations
I20220110000215 TX Practitioner - Nurse Practitioner 7911249719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5050 W Brown Deer Rd
Brown Deer, WI 53223-2424
Phone (414) 712-8481

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8814-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clarissa Marie Lawrence Family CurrentSince Sep 22, 2021 Accepting new patients
Vpa PC CurrentSince Apr 29, 2019 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 1, 2021 Accepting new patients
Belong Medical Group PC CurrentSince Mar 19, 2025 Accepting new patients
Episource LLC CurrentSince Jun 20, 2020 Accepting new patients

Locations

500 W 190th St
Fl 4
Gardena, CA 90248
Phone (424) 292-2923

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

6614 Avenue U
Brooklyn, NY 11234
Phone (910) 987-3272

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

13555 Bishops Ct
Ste 315
Brookfield, WI 53005
Phone (414) 255-0300

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

7929 N 76th St
Milwaukee, WI 53223
Phone (414) 371-1000

5050 W Brown Deer Rd
Milwaukee, WI 53223
Phone (414) 308-9468

Organizations & group practices 6

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": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1194292268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7929 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532233947",
            "telephone_number": "414-554-9774",
            "fax_number": "414-979-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7929 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532233947",
            "telephone_number": "414-554-9774",
            "fax_number": "414-979-0325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9304 W Clovernook St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532245211",
            "country_code": "US",
            "telephone_number": "111-111-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "CLARISSA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DNP, APNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8814-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARISSA",
            "last_name": "LAWRENCE",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DNP, APNP, FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.