Individual provider Active NPI

Laura W O'Loughlin, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1588081913
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5641-33 Issued in WI
Practice address
2311 N Prospect Ave
Prospect Medical Commons
Milwaukee, WI 53211-4445
Phone
(414) 319-3000
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5641-33 WI Primary
Nurse Practitioner 363L00000X 5641 WI

Addresses

Primary practice location

2311 N Prospect Ave
Prospect Medical Commons
Milwaukee, WI 53211-4445

Mailing address

2675 N Mayfair Rd Ste 400
Milwaukee, WI 53226-1305
Phone (414) 763-6910

Other practice location 1

2675 N Mayfair Rd Ste 400
Milwaukee, WI 53226-1305
Phone (414) 763-6910

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
I20140606000975 WI Practitioner - Nurse Practitioner 8123242443 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Physicians of Wisconsin SCGroup PAC ID 9537596341, 28 clinicians
Lighthouse Clinic LLCGroup PAC ID 4385826502, 14 clinicians
New Frontiers Psychiatric SCGroup PAC ID 7416201058, 9 clinicians

Practice addresses (Care Compare)

2500 W Layton Ave
Suite 200
Milwaukee, WI 53221-5434
Phone (262) 297-7246

2524 E Webster PL
Suite 203
Milwaukee, WI 53211-4257
Phone (414) 964-9200

2675 N Mayfair Rd
Suite 400
Milwaukee, WI 53226-1305
Phone (414) 763-6910

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
59.26
Promoting interoperability
98
Improvement activities
40
Cost
72.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5641WIMDNurse Practitioner
5641-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Clinic CurrentSince Feb 19, 2024 Accepting new patients
New Frontiers TMS LLC CurrentSince Jan 8, 2026 Accepting new patients
Pain Physicians of Wisconsin, SC CurrentSince Jun 21, 2024 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince May 26, 2014 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince May 26, 2014 Accepting new patients
New Frontiers Psychiatric SC CurrentSince Jan 8, 2026 Accepting new patients
Madison Surgicenter LLC Past Accepting new patients

Locations

4202 W Oakwood Park Ct
Ste 110
Franklin, WI 53132
Phone 26229772461310

10105 74th St
Ste 101
Kenosha, WI 53142
Phone (262) 697-5056

34 Schroeder Ct
Ste 100
Madison, WI 53711
Phone (608) 288-7246

2524 E Webster Pl
Ste 203
Milwaukee, WI 53211
Phone (414) 964-9200

2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000

2500 W Layton Ave
Ste 200
Milwaukee, WI 53221
Phone (414) 282-5105

2675 N Mayfair Rd
Ste 400
Milwaukee, WI 53226
Phone (414) 350-2449

1200 Delafield St
Waukesha, WI 53188
Phone (262) 297-0724

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Organizations & group practices 8

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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1588081913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N MAYFAIR RD STE 400",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261305",
            "telephone_number": "414-763-6910",
            "fax_number": "414-763-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 N PROSPECT AVE",
            "address_2": "PROSPECT MEDICAL COMMONS",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114445",
            "telephone_number": "414-319-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2675 N Mayfair Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532261305",
            "country_code": "US",
            "telephone_number": "414-763-6910",
            "fax_number": "414-763-6911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'LOUGHLIN",
        "first_name": "LAURA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "5641-33",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "5641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.