Individual provider Active NPI

Lauren Elizabeth Tiehen Salit

  • Physician Assistant
  • Mequon, WI
National Provider Identifier
1497585541
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
13133 N Port Washington Rd Ste G16
Mequon, WI 53097-2423
Phone
(262) 243-2500
Fax
(262) 243-5395
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

13133 N Port Washington Rd Ste G16
Mequon, WI 53097-2423

Mailing address

839 N Marshall St Apt 76
Milwaukee, WI 53202-3906

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
I20250409003022 WI Practitioner - Physician Assistant 6002330222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Medical Affiliates IncGroup PAC ID 5991606337, 86 clinicians

Practice addresses (Care Compare)

12831 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 643-1300

13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7300

13125 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7408

2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 291-1000

2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone (262) 243-7408

2350 N Lake Dr
Milwaukee, WI 53211-4528

788 N Jefferson St
Suite 401
Milwaukee, WI 53202-3718
Phone (414) 226-4020

Hospital & facility affiliations

  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary'S Hospital Milwaukee, Inc Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1497585541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 N MARSHALL ST APT 76",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13133 N PORT WASHINGTON RD STE G16",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530972423",
            "telephone_number": "262-243-2500",
            "fax_number": "262-243-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIT",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH TIEHEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

Verify at the official NPI Registry.