Individual provider Active NPI

Lauren Michelle Snower, M.D.

  • Internal Medicine Physician
  • Pleasant Prairie, WI
National Provider Identifier
1639459597
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
82971-20 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
Aug 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125040267 IL
Internal Medicine Physician 207R00000X 82971-20 WI Primary

Addresses

Primary practice location

10256 Old Green Bay Rd FL 3
Pleasant Prairie, WI 53158-2814

Mailing address

6308 8TH Ave
Kenosha, WI 53143-5031
Phone (262) 551-4160

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150511002096 IL Practitioner - Internal Medicine 4688812878 Reassigns benefits to 2 organizations
I20240131002091 WI Practitioner - Internal Medicine 4688812878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Froedtert South IncGroup PAC ID 9537071196, 158 clinicians
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

103 S Greenleaf St
Suite a
Gurnee, IL 60031-3380
Phone (262) 653-5624

204 S Pine St
Burlington, WI 53105-1914
Phone (419) 221-6717

3400 Market LN
Kenosha, WI 53144-3430
Phone (262) 551-4600

9809 39TH Ave
Pleasant Prairie, WI 53158-3733
Phone (262) 925-5080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
69.39
Promoting interoperability
100
Improvement activities
40
Cost
74.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125040267ILMDInternal Medicine Physician
82971-20WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waukegan Clinic Corp Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Jul 1, 2015 Accepting new patients
Froedtert South, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Froedtert South, Inc. Past Accepting new patients

Locations

103 S Greenleaf St
Ste A
Gurnee, IL 60031
Phone (262) 653-5624

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

1616 Grand Ave
Ste B
Waukegan, IL 60085
Phone (847) 239-4756

3400 Market Ln
Ste 200
Kenosha, WI 53144
Phone (262) 551-4600

3400 Market Ln
Kenosha, WI 53144
Phone (262) 551-4600

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

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

10256 Old Green Bay Rd
Fl 3
Pleasant Prairie, WI 53158
Phone (262) 551-4160

Interoperability endpoints

  • Direct secure messaging: lsnower780820@direct.froedtert.com
  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 4

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 6

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": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1639459597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 8TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435031",
            "telephone_number": "262-551-4160",
            "fax_number": "262-551-4165"
        },
        {
            "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": "SNOWER",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125040267",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "82971-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Prairie, WI

Sources for this page

Verify at the official NPI Registry.