Individual provider Active NPI

Laura Ann McCauley, MD

  • Pulmonary Disease Physician
  • Appleton, WI
National Provider Identifier
1578699609
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
59951 Issued in WI
Practice address
2575 E Evergreen Drive
Appleton, WI 54913-8904
Phone
(920) 969-5353
Fax
(414) 337-7201
NPI assigned
Feb 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 59951 WI
Pulmonary Disease Physician 207RP1001X 59951 WI Primary

Addresses

Primary practice location

2575 E Evergreen Drive
Appleton, WI 54913-8904

Mailing address

2575 E Evergreen Drive
Appleton, WI 54913-8904
Phone (920) 969-5353

Other identifiers 1

IdentifierTypeStateIssuer
1578699609MedicaidWI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130221000353 WI Practitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 6002061140 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59951WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Aug 18, 2018 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Marshfield Clinic Inc CurrentSince Feb 11, 2013 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 18, 2018 Accepting new patients
Children'S Specialty Group, Inc. Pediatrics Past Accepting new patients

Locations

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Interoperability endpoints

  • Direct secure messaging: lmccauley72966@direct.chw.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1578699609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 E EVERGREEN DRIVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138904",
            "telephone_number": "920-969-5353",
            "fax_number": "414-337-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 E EVERGREEN DRIVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138904",
            "telephone_number": "920-969-5353",
            "fax_number": "414-337-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAULEY",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "59951",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "59951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578699609",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.