Mary Lisa Landwehr, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

45925 Issued in WI

Practice address

2829 County Highway I
Suite 2
Chippewa Falls, WI 54729-2652

Phone

(715) 726-3096

Fax

(715) 726-3979

NPI assigned

May 24, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 14

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

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Croix Hospice Eau Claire Hospice, Eau Claire, WI, CCN 521599
• Marshfield Medical Center - Eau Claire Hospital, Eau Claire, WI, CCN 520210
• Mayo Clinic Health System Chippewa Valley Hospital, Bloomer, WI, CCN 521314
• Mayo Clinic Health System Eau Claire Hospital Hospital, Eau Claire, WI, CCN 520070

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mlandwehr@sfcc.ssdirect.aprima.com

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

• Sunrise Family Care Clinic SC

  • Family Medicine Physician
  • Chippewa Falls, WI
  • NPI 1316257967
  Medicare reassignment NPD Authorized official

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

• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

  • General Acute Care Hospital
  • Eau Claire, WI
  • NPI 1629027578
  Care Compare affiliation
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

  • Critical Access Hospital
  • Bloomer, WI
  • NPI 1700837812
  Care Compare affiliation
• MCHS Hospitals Inc

  • General Acute Care Hospital
  • Eau Claire, WI
  • NPI 1952809816
  Care Compare affiliation
• St Croix Hospice LLC

  • Community Based Hospice Care Agency
  • Eau Claire, WI
  • NPI 1841601952
  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1386647246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 COUNTY HIGHWAY I",
            "address_2": "SUITE 2",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547294410",
            "telephone_number": "715-726-3096",
            "fax_number": "715-726-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 COUNTY HIGHWAY I",
            "address_2": "SUITE 2",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292652",
            "telephone_number": "715-726-3096",
            "fax_number": "715-726-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDWEHR",
        "first_name": "MARY",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "45925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "H77162",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA GROUP HEALTH",
            "identifier": "H77162",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREATER MARSHFIELD PLAN",
            "identifier": "87843",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "01-14760",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATRIUM SENIOR PLAN",
            "identifier": "370T4LA",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN RISK",
            "identifier": "34433500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34433500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYERS HEALTH",
            "identifier": "391435797",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATRIUM",
            "identifier": "370T4LA",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "W005284",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2135289",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MINNESOTA",
            "identifier": "370T4LA",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "864421040063",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS RAILROAD",
            "identifier": "P00058497",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake Wissota Family Chiropractic
• Lakeland Home Healthcare
• Lakeland Hospice LLC
• Thomas J Lamartina, MSW LCSW
• Rita Ann Lambrigtsen, MS/OTR
• Julie Lane, LPN
• Justine Larsen, LPC
• Bryanna Larson, CNM
• Kristin Elizabeth Larson, LPN
• Ross Alan Larson, PHARM D

• Family Medicine Physician in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.