Individual provider Active NPI

Karen S Lim, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, WI
National Provider Identifier
1316073836
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2993-33 Issued in WI
Practice address
377 W River Woods Pkwy Ste 201
Glendale, WI 53212-1088
Phone
(414) 323-6880
Fax
(414) 529-3651
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2993-33 WI
Adult Health Nurse Practitioner 363LA2200X 2993-33 WI
Gerontology Nurse Practitioner 363LG0600X 2993-33 WI
Registered Nurse 163W00000X 126701-30 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2993-33 WI Primary

Addresses

Primary practice location

377 W River Woods Pkwy Ste 201
Glendale, WI 53212-1088

Mailing address

52 Rushmore LN
Hartford, WI 53027-8666
Phone (608) 445-8413

Other practice location 1

400 Reid St Ste N
DE Pere, WI 54115-2164
Phone (855) 607-8242

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
I20161220001597 WI Practitioner - Nurse Practitioner 4981834447 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleanslate Medical Group of Wisconsin SCGroup PAC ID 4284905134, 26 clinicians

Practice addresses (Care Compare)

377 W River Woods Pkwy
Suite 201
Glendale, WI 53212-1088
Phone (414) 323-6880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2993-33WIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Community Health Care, Inc Current Accepting new patients
Oak Medical SC Psychiatric/Mental Health CurrentSince Nov 1, 2020 Accepting new patients
Professional Services Group, Inc. CurrentSince Nov 21, 2016 Accepting new patients
Lakeshore Community Health Care, Inc CurrentSince Oct 31, 2017 Accepting new patients
Maple Medical SC Adult Health CurrentSince Nov 1, 2020 Accepting new patients
Watertown Physician Practices LLC Nurse Practitioner CurrentSince Jul 12, 2023 Accepting new patients
Lakeshore Community Health Care, Inc CurrentSince Oct 31, 2017 Accepting new patients
Watertown Physician Practices LLC Psychiatric/Mental Health CurrentSince Jul 12, 2023 Accepting new patients
Cleanslate Medical Group of Wisconsin, SC CurrentSince Jan 1, 2025 Accepting new patients
Watertown Physician Practices LLC Current Accepting new patients

Locations

377 W River Woods Pkwy
Ste 201
Glendale, WI 53212
Phone (414) 323-6880

6233 39th Ave
Kenosha, WI 53142
Phone (262) 654-1004

123 Hospital Dr
Ste 110
Watertown, WI 53098
Phone (920) 261-0672

1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

1205 S 70th St
Ste 301
West Allis, WI 53214
Phone (414) 475-2788

Organizations & group practices 10

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1316073836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 RUSHMORE LN",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530278666",
            "telephone_number": "608-445-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 W RIVER WOODS PKWY STE 201",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121088",
            "telephone_number": "414-323-6880",
            "fax_number": "414-529-3651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Reid St Ste N",
            "address_purpose": "LOCATION",
            "city": "DE Pere",
            "state": "WI",
            "postal_code": "541152164",
            "country_code": "US",
            "telephone_number": "855-607-8242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "KAREN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2993-33",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "2993-33",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "2993-33",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "126701-30",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "2993-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.