Individual provider Active NPI

Lisa Draze, APNP

  • Family Nurse Practitioner
  • Madison, WI
National Provider Identifier
1366814493
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8479 Issued in WI
Practice address
1444 Ellen Ave
Madison, WI 53716-1578
Phone
(715) 587-8528
NPI assigned
Oct 28, 2015
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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 8479 WI Primary
Registered Nurse 163W00000X 226773 WI

Addresses

Primary practice location

1444 Ellen Ave
Madison, WI 53716-1578

Mailing address

1444 Ellen Ave
Madison, WI 53716-1578

Other identifiers 1

IdentifierTypeStateIssuer
1619418753MedicaidWI

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
I20190226003220 WI Practitioner - Nurse Practitioner 7517243561 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Wisconsin IncGroup PAC ID 6204208754, 48 clinicians

Practice addresses (Care Compare)

1366 E Sumner St
Suite 1002
Hartford, WI 53027-1614
Phone (337) 408-0805

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8479WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BCS of Wisconsin S.C. CurrentSince Sep 3, 2019 Accepting new patients
Holistic Healing LLC PastSince Mar 8, 2017 Accepting new patients

Locations

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

Organizations & group practices 4

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": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1366814493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 ELLEN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537161578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 ELLEN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537161578",
            "telephone_number": "715-587-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAZE",
        "first_name": "LISA",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8479",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "226773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619418753",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.