Individual provider Active NPI

Lisa Wengel, APNP

  • Family Nurse Practitioner
  • Plover, WI
National Provider Identifier
1336837400
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13766-33 Issued in WI
Practice address
1767 Park Ave
Plover, WI 54467-4301
Phone
(715) 344-1260
NPI assigned
Apr 26, 2023
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1376633 WI
Family Nurse Practitioner 363LF0000X 13766-33 WI Primary

Addresses

Primary practice location

1767 Park Ave
Plover, WI 54467-4301

Mailing address

5318 Denton PL
Madison, WI 53711-4325
Phone (262) 390-0164

Other practice location 1

400 Westwood Dr Ste 200
Wausau, WI 54401-7801
Phone (715) 842-7246

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
I20230823001338 WI Practitioner - Nurse Practitioner 5395108450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bone and Joint Clinic S.C.Group PAC ID 3678541919, 45 clinicians

Practice addresses (Care Compare)

1767 Park Ave
Suite 100
Plover, WI 54467-4301
Phone (800) 445-6442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13766-33WIMDFamily Nurse Practitioner
1376633WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bone & Joint Clinic S.C. CurrentSince Aug 28, 2023 Accepting new patients
Bone & Joint Clinic S.C. CurrentSince Aug 28, 2023 Accepting new patients

Locations

724 S 8th St
Medford, WI 54451
Phone (715) 748-2663

1767 Park Ave
Plover, WI 54467
Phone (715) 344-1260

1767 Park Ave
#100
Plover, WI 54467
Phone (715) 344-1260

225000 Hummingbird Rd
Ste 100
Rib Mountain, WI 54401
Phone 71535964421615

400 Westwood Dr
#200
Wausau, WI 54401
Phone (715) 261-0425

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.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1336837400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 DENTON PL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537114325",
            "telephone_number": "262-390-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 PARK AVE",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544674301",
            "telephone_number": "715-344-1260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Westwood Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544017801",
            "country_code": "US",
            "telephone_number": "715-842-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENGEL",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1376633",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "13766-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plover, WI

Sources for this page

Verify at the official NPI Registry.