Individual provider Active NPI

Lizel Ann Granada, NP-C

  • Family Nurse Practitioner
  • Pleasant Prairie, WI
National Provider Identifier
1619213618
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15297 Issued in WI
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

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130311000482 IL Practitioner - Nurse Practitioner 8022263425 Reassigns benefits to 1 organization
I20240430000659 WI Practitioner - Nurse Practitioner 8022263425 Reassigns benefits to 2 organizations

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
Froedtert South IncGroup PAC ID 9537071196, 158 clinicians

Practice addresses (Care Compare)

10256 Old Green Bay Rd
Pleasant Prairie, WI 53158-2814
Phone (262) 551-4200

Hospital & facility affiliations

  • Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.009631ILMDFamily Nurse Practitioner
15297WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Apr 17, 2024 Accepting new patients
Waukegan Clinic Corp Current Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Jan 1, 2013 Accepting new patients
Wilfredo a Granada MD LTD Current Accepting new patients
Froedtert South, Inc. PastSince May 4, 2026 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.