Active NPI
Lauren Leah Listau, PA-C
- Physician Assistant
- Madison, WI
National Provider Identifier
1407769979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 905623
- Practice address
- 1211 Fish Hatchery Rd
Madison, WI 53715-1909 - Phone
- (608) 252-8000
- NPI assigned
- Sep 25, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 905623 | WI | Primary |
Addresses
Primary practice location
1211 Fish Hatchery Rd
Madison, WI 53715-1909
Mailing address
1211 Fish Hatchery Rd
Madison, WI 53715-1909
Phone (608) 252-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1407769979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 FISH HATCHERY RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537151909",
"telephone_number": "608-252-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 FISH HATCHERY RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537151909",
"telephone_number": "608-252-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISTAU",
"first_name": "LAUREN",
"middle_name": "LEAH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "905623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.