Active NPI
Mariah Lau, APNP
- Family Nurse Practitioner
- Sheboygan, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11189-33
- Practice address
- 1411 N Taylor Dr
Sheboygan, WI 53081-3043 - Phone
- (920) 418-0952
- NPI assigned
- Nov 2, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11189-33 | WI | Primary |
Addresses
Primary practice location
1411 N Taylor Dr
Sheboygan, WI 53081-3043
Mailing address
1411 N Taylor Dr
Sheboygan, WI 53081-3043
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mlau350277@ewd.direct.hshs.org | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211201000208 | WI | Practitioner - Nurse Practitioner | 4789074006 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| Prevea Clinic, Inc. | Current | Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current | Accepting new patients | |
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current | Accepting new patients | |
| Prevea Clinic, Inc. | Current | Accepting new patients | |
| St Clare Memorial Hospital, Inc | Current | Accepting new patients |
Locations
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
1411 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 457-1600
Interoperability endpoints
- mariah.lau.1@14940.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Green Bay, WI
- NPI 1306869276
-
- Family Medicine Physician
- Chippewa Falls, WI
- NPI 1588110969
-
- Critical Access Hospital
- Oconto Falls, WI
- NPI 1851477913
-
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1447737762
-
- Durable Medical Equipment & Medical Supplies
- Green Bay, WI
- NPI 1245042530
-
- General Practice Physician
- Green Bay, WI
- NPI 1285613638
-
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1275799413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1407511744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N TAYLOR DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N TAYLOR DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813043",
"telephone_number": "920-418-0952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "MARIAH",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-02",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "11189-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mlau350277@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "1411 N Taylor Dr",
"city": "Sheboygan",
"state": "WI",
"country_code": "US",
"postal_code": "530813043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.