Individual provider Active NPI

Christina Louise Lovely, FNP

  • Family Nurse Practitioner
  • Racine, WI
National Provider Identifier
1215564554
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9984 Issued in WI
Practice address
3813 Haven Ave
Racine, WI 53405-2325
Phone
(262) 939-2926
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 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 9984-33 WI
Family Nurse Practitioner 363LF0000X 9984 WI Primary

Addresses

Primary practice location

3813 Haven Ave
Racine, WI 53405-2325

Mailing address

3813 Haven Ave
Racine, WI 53405-2325
Phone (262) 939-2926

Other names 1

  • Miss Christina L Kubicek Former name

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
I20200605000774 WI Practitioner - Nurse Practitioner 8527489145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthopedic Surgeons of Wisconsin SCGroup PAC ID 5294727152, 61 clinicians
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

3077 N Mayfair Rd
Suite 100
Wauwatosa, WI 53222-4305
Phone (414) 384-6700

7740 S Lovers Lane Rd
Suite 410
Franklin, WI 53132-2211
Phone (419) 221-6717

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9984WIMDPharmacist
9984-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgeons of Wisconsin, S.C. Nurse Practitioner CurrentSince Nov 1, 2024 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince Jun 1, 2020 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

7400 W Rawson Ave
Ste 243
Franklin, WI 53132
Phone (414) 425-8150

3111 W Rawson Ave
Ste 215
Franklin, WI 53132
Phone (414) 761-0727

3111 W Rawson Ave
Ste 110
Franklin, WI 53132

3111 W Rawson Ave
Ste 205
Franklin, WI 53132

9969 S 27th St
Ste 1100
Franklin, WI 53132

3111 W Rawson Ave
Ste 235
Franklin, WI 53132
Phone (414) 325-4370

3111 W Rawson Ave
Ste 200
Franklin, WI 53132
Phone (414) 325-4320

3111 W Rawson Ave
Ste 100
Franklin, WI 53132
Phone (414) 761-2600

12831 N Port Washington Rd
Mequon, WI 53097
Phone (262) 643-1300

2500 W Layton Ave
Ste 160
Milwaukee, WI 53221
Phone (414) 389-3023

3237 S 16th St
Ste 210
Milwaukee, WI 53215
Phone (414) 643-4020

3033 W Layton Ave
Ste 102
Milwaukee, WI 53221
Phone (414) 647-0033

9252 N Green Bay Rd
Milwaukee, WI 53209
Phone (414) 527-5089

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

10180 Washington Ave
Ste 200
Mount Pleasant, WI 53177
Phone (262) 687-6000

3077 N Mayfair Rd
Ste 100
Wauwatosa, WI 53222
Phone (414) 771-5900

2323 N Mayfair Rd
Ste 300
Wauwatosa, WI 53226
Phone (414) 443-9862

201 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 259-7200

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: christina.lovely.1@32957.direct.athenahealth.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1215564554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 HAVEN AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534052325",
            "telephone_number": "262-939-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 HAVEN AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534052325",
            "telephone_number": "262-939-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELY",
        "first_name": "CHRISTINA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9984-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "KUBICEK",
            "middle_name": "L",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Racine, WI

Sources for this page

Verify at the official NPI Registry.