Individual provider Active NPI

Lisa Jablonowski, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brookfield, WI
National Provider Identifier
1326927245
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
17343-33 Issued in WI
Practice address
333 Bishops Way Ste 102
Brookfield, WI 53005-6209
Phone
(414) 530-1878
NPI assigned
Aug 27, 2025
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 17343-33 WI Primary

Addresses

Primary practice location

333 Bishops Way Ste 102
Brookfield, WI 53005-6209

Mailing address

333 Bishops Way Ste 102
Brookfield, WI 53005-6209
Phone (262) 402-7964

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
I20251105001632 WI Practitioner - Nurse Practitioner 1052801487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych Med Management LLCGroup PAC ID 5294053443, 3 clinicians

Practice addresses (Care Compare)

333 Bishops Way
Suite 102
Brookfield, WI 53005-6209
Phone (262) 402-7964

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17343-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Med Management LLC Single Specialty CurrentSince Sep 1, 2025 Accepting new patients

Locations

333 Bishops Way
Ste 102
Brookfield, WI 53005
Phone (262) 395-5141

11431 N Port Washington Rd
Ste 115
Mequon, WI 53092
Phone (262) 402-7964

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1326927245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BISHOPS WAY STE 102",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056209",
            "telephone_number": "262-402-7964",
            "fax_number": "833-829-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BISHOPS WAY STE 102",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056209",
            "telephone_number": "414-530-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABLONOWSKI",
        "first_name": "LISA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "17343-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.