Individual provider Active NPI

Allison E Soerens, APNP

  • Nurse Practitioner
  • Cedar Grove, WI
National Provider Identifier
1275640484
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1483 Issued in WI
Practice address
313 S Main St
Cedar Grove, WI 53013-1611
Phone
(920) 668-8502
Fax
(920) 668-8093
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1483 WI Primary

Addresses

Primary practice location

313 S Main St
Cedar Grove, WI 53013-1611

Mailing address

313 S Main St
Cedar Grove, WI 53013-1611
Phone (920) 668-8502

Other identifiers 1

IdentifierTypeStateIssuer
43903700MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address asoerens45021@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20100526000010 WI Practitioner - Nurse Practitioner 5092844324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056

1146 Plankview Green Blvd
Sheboygan Falls, WI 53085-3393
Phone (920) 467-2424

2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone (920) 457-4461

313 S Main St
Cedar Grove, WI 53013-1611
Phone (920) 668-8502

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Sep 20, 1999 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 20, 1999 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

313 S Main St
Cedar Grove, WI 53013
Phone (414) 668-8502

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

110 Butler St
Random Lake, WI 53075
Phone (920) 994-9094

2414 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 457-4461

620 S Wisconsin Dr
Sheboygan, WI 53083
Phone (920) 565-4595

1813 Ashland Ave
Sheboygan, WI 53081
Phone (920) 458-4010

1146 Plankview Green Blvd
Sheboygan Falls, WI 53085
Phone (920) 457-2424

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 4

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1275640484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S MAIN ST",
            "city": "CEDAR GROVE",
            "state": "WI",
            "postal_code": "530131611",
            "telephone_number": "920-668-8502",
            "fax_number": "920-668-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S MAIN ST",
            "city": "CEDAR GROVE",
            "state": "WI",
            "postal_code": "530131611",
            "telephone_number": "920-668-8502",
            "fax_number": "920-668-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOERENS",
        "first_name": "ALLISON",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43903700",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asoerens45021@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "313 S Main St",
            "city": "Cedar Grove",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530131611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "313 S Main St",
            "city": "Cedar Grove",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530131611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Grove, WI

Sources for this page

Verify at the official NPI Registry.