Individual provider Active NPI

Lisa Rae Cwikla, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1437825684
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11226-33 Issued in WI
Practice address
229 E Wisconsin Ave
Milwaukee, WI 53202-4230
Phone
(414) 224-3737
NPI assigned
Aug 18, 2021
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11226-33 WI Primary

Addresses

Primary practice location

229 E Wisconsin Ave
Milwaukee, WI 53202-4230

Mailing address

2502 Pebble Valley Rd
Waukesha, WI 53188-1530
Phone (414) 828-3244

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
I20211018001168 WI Practitioner - Nurse Practitioner 9133527476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trilogy Health Group LLCGroup PAC ID 7113304692, 2 clinicians

Practice addresses (Care Compare)

2717 N Grandview Blvd
Waukesha, WI 53188-1672
Phone (262) 565-6202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11226-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Consultants & Therapists, SC CurrentSince Sep 1, 2021 Accepting new patients
Trilogy Health Group LLC Psychiatric/Mental Health CurrentSince Apr 1, 2022 Accepting new patients

Locations

229 E Wisconsin Ave
Ste 60
Milwaukee, WI 53202
Phone (414) 224-3737

229 E Wisconsin Ave
Ste 600
Milwaukee, WI 53202
Phone (414) 224-3737

2717 N Grandview Blvd
Ste 103
Waukesha, WI 53188
Phone (262) 565-6202

Organizations & group practices 2

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1437825684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 PEBBLE VALLEY RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881530",
            "telephone_number": "414-828-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024230",
            "telephone_number": "414-224-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CWIKLA",
        "first_name": "LISA",
        "middle_name": "RAE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "11226-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.