Yia Lor, NP
Individual provider Active NPI Family Nurse Practitioner · Little Chute, WI
NPI 1629683065 · NPPES record last updated Feb 9, 2026
Key facts
- NPI
- 1629683065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 10354-33 (WI)
- Practice address
- 1201 Garfield Ave
Little Chute, WI 54140-2048 - Phone
- (872) 231-3162
- NPI assigned
- Sep 11, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrated Rehab Consultants LLC
Integrative Pain Management, SC
Practice addresses (Care Compare)
1201 Garfield Ave
Little Chute, WI 54140-2048
Phone (872) 231-3162
510 Doctors CT
Oshkosh, WI 54901-2026
Phone (920) 230-7246
Hospital & facility affiliations
- Ascension Calumet Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210310003182 | WI | Practitioner - Nurse Practitioner | 5799191052 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10354-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Pain Management SC | Current |
Accepting new patients | |
| Integrated Rehab Consultants LLC | Current |
Accepting new patients | |
| Integrative Pain Management SC | Current |
Accepting new patients | |
| Ascension Calumet Hospital, Inc | Current |
Accepting new patients | |
| Integrated Rehab Consultants LLC | Current |
Accepting new patients |
Locations
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
3108 Mid Valley Dr
De Pere, WI 54115
Phone (920) 432-9040
277 N Altenhofen Dr
Grand Chute, WI 54913
Phone (920) 212-3609
1760 Shawano Ave
Green Bay, WI 54303
Phone (920) 499-5191
1201 Garfield Ave
Little Chute, WI 54140
Phone (262) 245-1259
6201 Elmwood Ave
Middleton, WI 53562
Phone (608) 830-5141
510 Doctors Ct
Oshkosh, WI 54901
Phone (920) 230-7246
555 S Washburn St
Oshkosh, WI 54904
Phone (920) 230-7246
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10354-33 | WI | Yes |
Addresses
Primary practice location
1201 Garfield Ave
Little Chute, WI 54140-2048
Mailing address
PO Box 74008272
Chicago, IL 60674-8272
Phone (872) 231-3162
Other practice location 1
3750 Summerset Way Apt 1
Oshkosh, WI 54901-0501
Phone (920) 509-1655
Other providers in Little Chute, WI
- Sarah Kroll
- Khaypha Kue
- Braden Leick
- Mark Gerard Lenz
- Little Chute Area School District
- Cary Ann Luitjens
- Natalie Lutkowski
- Melinda Marasch
- Elese McClarie
- Timothy McMahon
All providers in Little Chute, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.