Active NPI
Lisa M. Bratvold, NP
- Nurse Practitioner
- Hayward, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2823
- Practice address
- 11040 N State Rd 77
Hayward, WI 54843-3606 - Phone
- (715) 934-4910
- Fax
- (715) 934-4620
- NPI assigned
- Jul 6, 2006
- Last updated
- Jul 14, 2023
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2823 | WI | Primary |
Addresses
Primary practice location
11040 N State Rd 77
Hayward, WI 54843-3606
Mailing address
11040 N State Rd 77
Hayward, WI 54843-3606
Phone (715) 934-4910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APPR | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | Other |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11040 N State Rd
Hayward, WI 54843-3606
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.05 of 100
- Quality
- 87.37
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2823 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Medical Services, Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Medical Services, Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Medical Services, Inc | Past | Accepting new patients |
Locations
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
10212 N Greenwood Ln
Hayward, WI 54843
Phone (715) 634-6520
11040 N State Road 77
Hayward, WI 54843
Phone (715) 934-4244
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1020 Lakeshore Dr
Rice Lake, WI 54868
Phone (715) 236-8100
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Interoperability endpoints
- him@marshfieldclinichealthsystem.cernerdirect.com
- lisa.bratvold@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 9
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.
-
dba Tamarack Health Hayward Medical Center
- Critical Access Hospital
- Hayward, WI
- NPI 1912992827
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Marshfield Medical Center - Rice Lake Home Health
- Home Health Agency
- Rice Lake, WI
- NPI 1326139049
-
dba Marshfield Medical Center - Eau Claire Cancer Center
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
dba Marshfield Medical Center - Ladysmith
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
dba Clinic Services of Hayward Area Memorial Hospital
- Rural Health Clinic/Center
- Hayward, WI
- NPI 1386316537
-
dba Tamarack Health Water's Edge
- Skilled Nursing Facility
- Hayward, WI
- NPI 1902810450
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tamarack Health Hayward Medical Center
- Critical Access Hospital
- Hayward, WI
- NPI 1912992827
-
dba Transitions Home Health of Central Wisconsin
- Home Health Agency
- Stevens Point, WI
- NPI 1013457738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1477584266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11040 N STATE RD 77",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548433606",
"telephone_number": "715-934-4910",
"fax_number": "715-934-4620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11040 N STATE RD 77",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548433606",
"telephone_number": "715-934-4910",
"fax_number": "715-934-4620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRATVOLD",
"first_name": "LISA",
"middle_name": "M.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "2823",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "APPR",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Other",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "1000 N Oak Ave",
"city": "Marshfield",
"state": "WI",
"country_code": "US",
"postal_code": "544495703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hayward, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.