Individual provider Active NPI

Laurie Ann Whorley, APNP

  • Nurse Practitioner
  • Muskego, WI
National Provider Identifier
1609978196
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2944 Issued in WI
Practice address
S69W15636 Janesville Rd
Muskego, WI 53150-9330
Phone
(262) 928-7000
Fax
(414) 422-2079
NPI assigned
Sep 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2944 WI Primary

Addresses

Primary practice location

S69W15636 Janesville Rd
Muskego, WI 53150-9330

Mailing address

S69W15636 Janesville Rd
Muskego, WI 53150-9330
Phone (262) 928-7000

Other names 1

  • Ms. Laurie Ann Gereau Former name

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
I20061127000007 WI Practitioner - Nurse Practitioner 7810995016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Medical Group IncGroup PAC ID 3476465188, 475 clinicians

Practice addresses (Care Compare)

13900 W National Ave
New Berlin, WI 53151-9515
Phone (262) 928-4500

240 Maple Ave
Mukwonago, WI 53149-8475
Phone (262) 928-1900

2750 Golf Rd
Delafield, WI 53018-2062
Phone (262) 928-4900

725 American Ave
Waukesha, WI 53188-5031
Phone (262) 928-1000

790 Cornerstone Xing
Waterford, WI 53185-4582
Phone (262) 363-1977

N16W24131 Riverwood Dr
Waukesha, WI 53188-1106
Phone (262) 696-0808

N17W24100 Riverwood Dr
Waukesha, WI 53188-1127
Phone (262) 928-4704

S69W15472 Janesville Rd
Muskego, WI 53150-9330
Phone (262) 928-7000

Hospital & facility affiliations

  • Prohealth Home Care Home health agency, Waukesha, WI, CCN 527178
  • Waukesha Memorial Hospital Hospital, Waukesha, WI, CCN 520008

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Medical Group Inc CurrentSince Feb 2, 2015 Accepting new patients
Prohealth Medical Group Inc. CurrentSince Feb 2, 2015 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

S69W15636 Janesville Rd
Muskego, WI 53150
Phone (262) 513-7000

N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625

Organizations & group practices 3

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 2

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": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1609978196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S69W15636 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531509330",
            "telephone_number": "262-928-7000",
            "fax_number": "414-422-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S69W15636 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531509330",
            "telephone_number": "262-928-7000",
            "fax_number": "414-422-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHORLEY",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "GEREAU",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muskego, WI

Sources for this page

Verify at the official NPI Registry.