Individual provider Active NPI

Laura Ann Ernster, APNP

  • Nurse Practitioner
  • Sheboygan, WI
National Provider Identifier
1578154647
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10075-33 Issued in WI
Practice address
2707 S Business Dr
Sheboygan, WI 53081-6515
Phone
(920) 783-0112
Fax
(413) 507-6019
NPI assigned
Feb 1, 2021
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10075-33 WI Primary
Acute Care Nurse Practitioner 363LA2100X 10075-33 WI

Addresses

Primary practice location

2707 S Business Dr
Sheboygan, WI 53081-6515

Mailing address

3005 South 48 TH Street
Milwaukee, WI 53219
Phone (414) 688-4957

Other practice location 1

3005 South 48 th Street
Milwaukee, WI 53219
Phone (414) 688-4957

Other practice location 2

4321 W College Ave Ste 200
Appleton, WI 54914-3968
Phone (866) 949-0108

Other practice location 3

50 S B B King Blvd Ste 100
Memphis, TN 38103-2626
Phone (866) 949-0108

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
I20230926004139 WI Practitioner - Nurse Practitioner 3779937677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleanslate Medical Group of Wisconsin SCGroup PAC ID 4284905134, 26 clinicians

Practice addresses (Care Compare)

2707 S Business Dr
Sheboygan, WI 53081-6515
Phone (920) 783-0122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10075-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleanslate Medical Group of Wisconsin, SC CurrentSince Oct 1, 2023 Accepting new patients

Locations

8 Cadillac Dr
Ste 180
Brentwood, TN 37027

377 W River Woods Pkwy
Ste 201
Glendale, WI 53212
Phone (414) 323-6880

2707 S Business Dr
Sheboygan, WI 53081
Phone (920) 783-0112

Interoperability endpoints

  • Direct secure messaging: ms_lernster@landmarkhealth-direct.org

Organizations & group practices 1

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": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1578154647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 SOUTH 48 TH STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53219",
            "telephone_number": "414-688-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 S BUSINESS DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530816515",
            "telephone_number": "920-783-0112",
            "fax_number": "413-507-6019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3005 South 48 th Street",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53219",
            "country_code": "US",
            "telephone_number": "414-688-4957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4321 W College Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549143968",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "fax_number": "901-422-7636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 S B B King Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381032626",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERNSTER",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "10075-33",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "10075-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.