Active NPI
Lizel Ann Granada, NP-C
- Family Nurse Practitioner
- Pleasant Prairie, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 15297
- Practice address
- 10256 Old Green Bay Rd FL 3
Pleasant Prairie, WI 53158-2814 - Phone
- (262) 551-4160
- Fax
- (262) 551-4165
- NPI assigned
- Dec 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 15297 | WI | Primary |
| Family Nurse Practitioner | 363LF0000X | 209.009631 | IL |
Addresses
Primary practice location
10256 Old Green Bay Rd FL 3
Pleasant Prairie, WI 53158-2814
Mailing address
9555 76TH St
Pleasant Prairie, WI 53158-1984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10256 Old Green Bay Rd
Pleasant Prairie, WI 53158-2814
Phone (262) 551-4200
Hospital & facility affiliations
- Froedtert South Inc.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.009631 | IL | MD | Family Nurse Practitioner |
| 15297 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Southeast Wisconsin Inc | Current | Accepting new patients | |
| Waukegan Clinic Corp | Current | Accepting new patients | |
| Oncology Hematology Associates of Northern Illinois, LTD | Current | Accepting new patients | |
| Wilfredo a Granada MD LTD | Current | Accepting new patients | |
| Froedtert South, Inc. | Past | Accepting new patients |
Locations
200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888
2723 Sheridan Rd
Ste C
Zion, IL 60099
Phone (847) 360-4260
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
400 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 465-3000
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Interoperability endpoints
- https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
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.
-
- Family Medicine Physician
- Kenosha, WI
- NPI 1558305284
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- Family Medicine Physician
- Waukegan, IL
- NPI 1306937289
-
- Hematology & Oncology Physician
- Gurnee, IL
- NPI 1093142135
-
- Primary Care Clinic/Center
- Zion, IL
- NPI 1205017597
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1619213618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9555 76TH ST",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531581984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10256 OLD GREEN BAY RD FL 3",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531582814",
"telephone_number": "262-551-4160",
"fax_number": "262-551-4165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANADA",
"first_name": "LIZEL",
"middle_name": "ANN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-19",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "15297",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.009631",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.