NPIMap

Individual provider Active NPI

Kimberly Ann Lagrow, R.N., FNP-C

  • Family Nurse Practitioner
  • Muskego, WI
National Provider Identifier
1649321498
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7506 Issued in WI
Practice address
W125S6729 Jo CT
Muskego, WI 53150-3512
Phone
(262) 893-2645
NPI assigned
Jan 16, 2007
Last updated
Feb 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7506 WI Primary
Registered Nurse 163W00000X 130133-030 WI
Home Health Registered Nurse 163WH0200X 130133-030 WI

Addresses

Primary practice location

W125S6729 Jo CT
Muskego, WI 53150-3512

Mailing address

W125S6729 Jo CT
Muskego, WI 53150-3512
Phone (262) 893-2645

Other identifiers 1

IdentifierTypeStateIssuer
39912500MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170928001816 WI Practitioner - Nurse Practitioner 5890069975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geiger Medical LLCGroup PAC ID 2163719626, 25 clinicians

Practice addresses (Care Compare)

15430 W Capitol Dr
Suite 300
Brookfield, WI 53005-2626
Phone (262) 421-5133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130133-030WIMDRegistered Nurse
7506WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geiger Medical, LLC CurrentSince Mar 28, 2024 Accepting new patients

Locations

15430 W Capitol Dr
Ste 100
Brookfield, WI 53005
Phone (262) 235-3115

15430 W Capitol Dr
Ste 200
Brookfield, WI 53005

W63N545 Hanover Ave
Cedarburg, WI 53012
Phone (262) 421-5133

Organizations & group practices 1

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 7

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1649321498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W125S6729 JO CT",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531503512",
            "telephone_number": "262-893-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W125S6729 JO CT",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531503512",
            "telephone_number": "262-893-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGROW",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "R.N., FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7506",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "130133-030",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "130133-030",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39912500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskego, WI

Sources for this page

Verify at the official NPI Registry.