Active NPI
Lorelle Michelle Manion, M.D.
- Pediatrics Physician
- Brookfield, WI
National Provider Identifier
1336356336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35609
- Practice address
- 1305 N Barker Rd Ste 1
Brookfield, WI 53045-5216 - Phone
- (262) 784-3200
- Fax
- (262) 784-8198
- NPI assigned
- May 17, 2007
- Last updated
- Apr 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35609 | WI | Primary |
Addresses
Primary practice location
1305 N Barker Rd Ste 1
Brookfield, WI 53045-5216
Mailing address
PO Box 5005
Waukesha, WI 53187-5005
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32207500 | Medicaid | WI | |
| 35609 | Other | WI | WISCONSIN STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics West | Pediatrics | Past | Accepting new patients |
| Lorelle M Manion, MD, SC | Primary Care | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Brookfield, WI
- NPI 1023225042
-
- Pediatrics Physician
- Brookfield, WI
- NPI 1831343797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1336356336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5005",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531875005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 N BARKER RD STE 1",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530455216",
"telephone_number": "262-784-3200",
"fax_number": "262-784-8198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANION",
"first_name": "LORELLE",
"middle_name": "MICHELLE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "35609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32207500",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN STATE LICENSE",
"identifier": "35609",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.