Individual provider Active NPI

Lana L Sanders, MD

  • Emergency Medicine Physician
  • Waupaca, WI
National Provider Identifier
1376505933
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
46111 Issued in WI
Practice address
800 Riverside Dr
Waupaca, WI 54981-1943
Phone
(715) 258-1000
Fax
(715) 258-1042
NPI assigned
Apr 6, 2006
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 46111-020 WI
Emergency Medicine Physician 207P00000X 46111 WI Primary

Addresses

Primary practice location

800 Riverside Dr
Waupaca, WI 54981-1943

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 830-5900

Other practice location 1

430 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 926-4600

Other practice location 2

321 Butts Ave
Tomah, WI 54660-1412
Phone (608) 372-2181

Other practice location 3

225 Memorial Dr
Berlin, WI 54923-1243
Phone (920) 361-1313

Other identifiers 1

IdentifierTypeStateIssuer
34480400MedicaidWI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040618001271 WI Practitioner - Emergency MedicinePractitioner - Family Practice 7214912823 Reassigns benefits to 16 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Wisconsin, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile Bluff Medical Center IncGroup PAC ID 8527971399, 87 clinicians
Lake Country Emergency PhysiciansGroup PAC ID 4385607555, 7 clinicians

Practice addresses (Care Compare)

1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-6161

791 Summit Ave
Oconomowoc, WI 53066-3844
Phone (262) 569-0251

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46111WIMDEmergency Medicine Physician
46111-020WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thedacare Medical Center - Wild Rose, Inc CurrentSince Feb 12, 2025 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Feb 12, 2019 Accepting new patients
Rogers Memorial Hospital Incorporated CurrentSince Jun 21, 2016 Accepting new patients
Edgerton Hospital and Health Services Inc. CurrentSince Dec 1, 2018 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Oct 3, 2018 Accepting new patients
Thedacare Regional Medical Center - Appleton Inc. CurrentSince Apr 16, 2025 Accepting new patients
Watertown Physician Practices LLC Emergency Medicine CurrentSince Sep 1, 2015 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Feb 12, 2025 Accepting new patients
Emergency Physician Associates of Wisconsin SC Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Jun 14, 2017 Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Feb 12, 2025 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Feb 12, 2025 Accepting new patients
Gundersen Clinic LTD CurrentSince Feb 12, 2019 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Feb 12, 2025 Accepting new patients
Mile Bluff Medical Center Inc Emergency Medicine CurrentSince Jun 14, 2017 Accepting new patients
Thedacare Medical Center - New London, Inc CurrentSince Feb 12, 2025 Accepting new patients
Lake Country Emergency Physicians Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Watertown Physician Practices LLC CurrentSince Sep 1, 2015 Accepting new patients
Watertown Physician Practices LLC Current Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Emergency Medicine CurrentSince Feb 12, 2025 Accepting new patients
Gundersen Clinic LTD Current Accepting new patients
Richard S Veiga MD SC Current Accepting new patients
Emergency Medical Associates LLP Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Thedacare Regional Medical Center - Appleton, Inc. Current Accepting new patients
Thedacare Regional Medical Center - Appleton, Inc. CurrentSince Apr 16, 2025 Accepting new patients
Edgerton Hospital and Health Services, Inc CurrentSince Dec 1, 2018 Accepting new patients
Tomah Memorial Hospital Inc Emergency Medicine CurrentSince Oct 3, 2018 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

831 Arthur Dr
Milton, WI 53563
Phone (608) 868-3526

240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

34700 Valley Rd
Oconomowoc, WI 53066

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

321 Butts Ave
Tomah, WI 54660
Phone (608) 372-2181

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

123 Hospital Dr
Ste 2004
Watertown, WI 53098
Phone (920) 206-7772

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

125 Hospital Dr
Ste 2003
Watertown, WI 53098
Phone (920) 262-4371

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

725 American Ave
#5
Waukesha, WI 53188
Phone (262) 928-2475

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

601 Grove Ave
Wild Rose, WI 54984
Phone (920) 361-5907

Interoperability endpoints

  • Direct secure messaging: lana.sanders@direct.milebluff.com
  • Direct secure messaging: lsanders286864@direct-ehr-ssmhc.com

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1376505933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "920-830-5900",
            "fax_number": "920-830-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RIVERSIDE DR",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811943",
            "telephone_number": "715-258-1000",
            "fax_number": "715-258-1042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 E Division St",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549354560",
            "country_code": "US",
            "telephone_number": "920-926-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 Butts Ave",
            "address_purpose": "LOCATION",
            "city": "Tomah",
            "state": "WI",
            "postal_code": "546601412",
            "country_code": "US",
            "telephone_number": "608-372-2181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "WI",
            "postal_code": "549231243",
            "country_code": "US",
            "telephone_number": "920-361-1313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LANA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "46111-020",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "46111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34480400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waupaca, WI

Sources for this page

Verify at the official NPI Registry.