NPIMap

Individual provider Active NPI

Adrienne Laverdure, MD

  • Family Medicine Physician
  • Watersmeet, MI
National Provider Identifier
1639119225
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301512922 Issued in MI
Practice address
N5241 US Hwy 45
Watersmeet, MI 49969-0009
Phone
(906) 358-4588
Fax
(906) 358-4118
NPI assigned
Jun 8, 2006
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301512922 MI Primary
Family Medicine Physician 207Q00000X 39670 WI

Addresses

Primary practice location

N5241 US Hwy 45
Watersmeet, MI 49969-0009

Mailing address

PO Box 9
Watersmeet, MI 49969-0009
Phone (906) 358-4588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051025000720 WI Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 1850280876 Reassigns benefits to 4 organizations
I20201230000321 TX Practitioner - Family Practice 1850280876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians
Lac Vieux Desert Band of Lake Superior Chippewa IndiansGroup PAC ID 2567629181, 16 clinicians

Practice addresses (Care Compare)

240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8140

N5241 US Hwy
Watersmeet, MI 49969-0009
Phone (906) 358-4588

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39670WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lac Vieux Desert Band of Lake Superior Chippewa Indians CurrentSince Sep 1, 2024 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince May 23, 2015 Accepting new patients
Lac Du Flambeau Band of Lake Superior Chippewa Indians CurrentSince Mar 31, 1998 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Apr 7, 2020 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Lac Courte Oreilles Governing CurrentSince May 31, 2013 Accepting new patients
Lac Du Flambeau Band of Lake Superior Chippewa Indians CurrentSince Jun 26, 1989 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Apr 7, 2020 Accepting new patients
Nova Integrated Care LLC CurrentSince Jan 20, 2024 Accepting new patients
Bad River Band of Lake Superior Tribe of Chippewa Indians Wis CurrentSince Dec 15, 2020 Accepting new patients
Bad River Band of Lake Superior Tribe of Chippewa Indians Wis. CurrentSince Dec 15, 2020 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

N5241 US Highway 45
Watersmeet, MI 49969
Phone (906) 358-4587

53585 Nokomis Rd
Ashland, WI 54806
Phone (715) 682-7133

9940N County Road K
Hayward, WI 54843
Phone (715) 638-5100

129 Old Abe Rd
Lac du Flambu, WI 54538
Phone (715) 588-3371

450 Old Abe Rd
Lac du Flambu, WI 54538
Phone (715) 588-3371

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

444 E Timber Dr
Rhinelander, WI 54501
Phone (715) 369-2300

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1639119225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "WATERSMEET",
            "state": "MI",
            "postal_code": "499690009",
            "telephone_number": "906-358-4588",
            "fax_number": "906-358-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N5241 US HWY 45",
            "city": "WATERSMEET",
            "state": "MI",
            "postal_code": "499690009",
            "telephone_number": "906-358-4588",
            "fax_number": "906-358-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVERDURE",
        "first_name": "ADRIENNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301512922",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "39670",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watersmeet, MI

Sources for this page

Verify at the official NPI Registry.